The following should be answered after reading
- What should women who are at high risk of developing pre-eclampsia be given in pregnancy?
1A. Aspirin 75mg OD
2. When should they start this medication?
2A. From 12 weeks until the birth.
3. What are 4 conditions which would make a woman high risk of pre-eclampsia?
1. Hypertensive disease during previous pregnancies,
2. Chronic Kidney disease,
3. Autoimmune disorders such as SLE or antiphospholipid syndrome.
4. Diabetes (type 1 or 2)
4. There are two ways in which hypertension in pregnancy can be diagnosed what is the first?
4A. A systolic BP over 140 or a diastolic over 90
5. What is the second way in which hypertension in pregnancy can be diagnosed?
5A. An increase above the booking reading – raise in 30mmHg systolic or a raise in 15mmHg of diastolic.
6. What are the three categories hypertension in pregnancy can be categorised into?
6A. Pre-existing hypertension,
Pregnancy-induced (or gestational) hypertension,
7. In pre-existing hypertension, describe:
The blood pressure and week of gestation
In pre-existing hypertension, the BP is above 140/90 before 20 weeks of pregnancy.
7.2Q: In pre-existing hypertension, describe the urine and fluid status.
7.2Q: In pre-existing hypertension there is no proteinuria and there is no oedema.
8Q. In pre-existing hypertension, describe:
What proportion of pregnancies does it happen in?
8APre-existing hypertension is present in 3-5% of pregnancies.
9Q. In which patients is pre-existing hypertension more common in?
9A: Pre-existing hypertension is more common in older women.
10 Q: What is the definition of hypertension in pergnancy-induced hypertension?
10A: BP>140/90 occurring in second half of pregnancy (after 20 weeks)
11Q: In pregnancy-induced hypertension, describe the urine and fluid status.
11A. In pregnancy induced hypertension there is no proteinuria and no oedema
9.In pregnancy-induced hypertension, describe:
What percentage of pregnancies suffer?
Around 5-7% of pregnancies.
10. In pregnancy-induced hypertension, describe:
What is the natural history for the blood pressure?
10A. The hypertension resolves following birth – typically after a month.
11Q. If a woman suffers from pregnancy-induced hypertension what will she pre-disposed to?
11A. Women with PIH are at an increased risk of future pre-eclampsia or hypertension later in life.
12Q: What is pre-eclampsia?
12A: Pre-eclampsia is Pregnancy induced hypertension associated with Proteinuria.
13Q: Does Oedema occur in pre-eclaspisa?
13A: Oedema may occur in pre-eclampsia but is less commonly used as a criteria.
14Q: What proportion of pregnancies are effected by pre-eclampsia?
14A: Pre-eclampsia effects about 5% of pregnancies.