Name and describe the four types of hypertensive disorders associated with pregnancy.
What will be an ideal response?
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 not indicated by proteinuria. If blood pressure returns to normal within 10 days postpartum, the condition is considered to be transient hypertension of pregnancy. If it remains elevated, then the woman is considered to have chronic hypertension. Preeclampsia 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. 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. Eclampsia is the diagnostic term used when a woman with preeclampsia experiences seizures late in pregnancy that cannot be attributed to another cause.
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