Hypertensive Disorders of Pregnancy Blok 25 Revisi 2013

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Hypertensive Disorders of Pregnancy Blok 25 Revisi 2013

Transcript of Hypertensive Disorders of Pregnancy Blok 25 Revisi 2013

HYPERTENSIVE DISORDERS OF PREGNANCYGeneral ClassifcationPreeclampsia or Eclampsia (!pertension an" protein#ria #ni$#e to pre%nanc!&Cronic !pertensionCronic !pertension 'it s#perimpose" preeclampsiaGestational or transient !pertension(National Instit#tes o( Healt )or*in% Gro#p Report on Hi% +loo" Press#re in Pre%nanc!,-.../ A"opte" 0! ACOG ,-..-&Dia%nosis o( H!pertension+loo" press#re rea"in%s 1ar! "epen"in% on maternal position an" te %estational a%e o( te pre%nanc!/Ten"s to 0e lo'er in te 22D position, i%er in te sittin% position/In te s#pine position some ele1ate" press#re, some a1e s#pine !potension "#e to compression o( te 1ena ca1a 0! te #ter#s/Arterial 0loo" press#re normall! "eclines "#rin% 3st an" -n" trimesterTe "ia%nosis o( !pertension so#l" 0e reser1e" (or patients 'it a s!stolic %reater tan or e$#al to 34. mmH% or a "iastolic %reater tan or e$#al to 5. mmH%/+P so#l" 0e ta*en in te sitttin%or lateral "ec#0it#s position a(ter 'oman as reste" at least 3. min#tes/PREEC2A6PSIAA s!n"rome #ni$#e to pre%nanc!, caracteri7e" 0! te ne' onset o( !pertension an" protein#ria in te latter al( o( %estation "i1i"e" into mil" an" se1ere preeclampsia/Classicall! a8ectin% te frst pre%nanc!, 0#t also occ#rs in m#ltiparas or can%e in #s0an"T'o criteria (or "ia%nosis o( preeclampsia 9 te +P : 34.;5. mmH% an" "e1elopment o( ne' onset protein#ria a(ter -.t '*s AOG/Protei#n#ria "efne" as : ./< %ram protein in a -4 o#r #rine collection , #s#all! correlates .;33. mmH% at rest on t'o occasions at least > r apartProtein#ria ? %ram in a -4#rine collection or $#alitati1e =< Oli%#ria (@ ?.. ml in -4 r&Cere0ral or 1is#al "ist#r0ancesP#lmonar! e"ema or c!anosisEpi%astric or ri%t #pper $#a"rant painImpaire" li1er (#nction (ele1ate" li1er en7!me&Trom0oc!topeniaFetal %ro't restriction(ACOG, Practice +#lletin No/