ReviewHypertension in Pregnancy and Women of Childbearing Age
Section snippets
Treatment of Essential Hypertension in Women of Childbearing Age
The Joint National Committee 7 definition of hypertension and the treatment goals do not vary by age or gender (Table 1). Medications should be considered carefully before prescribing in women who may be or who are planning to become pregnant. Many common antihypertensive medications have teratogenic potential. The Food and Drug Administration has developed guidelines and recommendations for use of these medications during pregnancy. Medications with significant risk for fetal effects are
Conclusions
Hypertension is a growing problem in women of childbearing age requiring attention to reproductive goals before therapy. Chronic hypertension during pregnancy requires reassessment of blood pressure therapy. Regular screening for hypertension during pregnancy is required because it is a harbinger of dangerous multiorgan syndromes. Therapy should be initiated for severe hypertension (>160/110 mm Hg) during pregnancy. Therapy is aimed at avoiding direct morbidity and mortality associated with
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Authorship: All authors had access to the data and played a role in writing this manuscript.