Name and describe the four types of hypertensive disorders associated with pregnancy
Chronic hypertension is present before pregnancy or diagnosed before 20 weeks of pregnancy. Hypertension is defined as blood pressure ?140 mm Hg systolic or ?90 mm Hg diastolic blood pressure. Hypertension first diagnosed during pregnancy that does not resolve after pregnancy is also classified as chronic hypertension. Gestational hypertension is a condition that exists when elevated blood pressure levels are detected for the first time after mid-pregnancy. It is accompanied by proteinuria or the onset of new symptoms. Preeclampsia-Eclampsia is a pregnancy-specific syndrome that usually occurs after 20 weeks gestation (but that may occur earlier) in previously normotensive women. It is determined by increased blood pressure during pregnancy to ?140 mm Hg systolic or ?90 mm Hg diastolic and is accompanied by proteinuria. In the absence of proteinuria, the disease is highly suspected when increased blood pressure is accompanied by headache, blurred vision, abdominal pain, low platelet count, and abnormal liver enzyme values. Chronic hypertension with superimposed preeclampsia is a disorder characterized by the development of proteinuria during pregnancy in women with chronic hypertension. In women with hypertension and proteinuria before 20 weeks of pregnancy, it is indicated by a sudden increase in proteinuria, blood pressure, or abnormal platelet or liver enzyme levels.
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