Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- presença de fatores de risco
- previamente normotensa
- pressão arterial (PA) ≥140/90 mmHg
Другие диагностические факторы
- >20 semanas de gestação
- ausência de sintomas que sugerem pré-eclâmpsia
Факторы риска
- nulíparas
- idade materna >35 anos
- etnia negra ou hispânica
- obesidade
- mãe nascida com tamanho pequeno para a idade gestacional
- diabetes mellitus do tipo 1
- enxaqueca
Диагностические исследования
Исследования, которые показаны в первую очередь
- urinálise
- Hemograma completo
- TFHs
- eletrólitos, ureia, creatinina
- fator de crescimento placentário
Исследования, проведение которых нужно рассмотреть
- ácido úrico
- monitoramento da pressão arterial (PA) por 24h
- ultrassonografia fetal
- velocimetria da artéria umbilical por Doppler
- proteinúria (testes químicos, coleta de urina de 24 horas)
Алгоритм лечения
antes do parto
depois do parto
Составители
Авторы
Aparna Sundaram, DO, MBA, MPH
Board-certified in Preventive Medicine
Board Certified in Lifestyle Medicine
Preventive Medicine Consultants, PLLC
Glendale
AZ
Раскрытие информации
AS declares that she has no competing interests.
Рецензенты
Caroline Apovian, MD
Associate Professor of Medicine
Boston University School of Medicine
Boston
MA
Раскрытие информации
CA declares that she has no competing interests.
James Walker, MD, FRCP(Glas), FRCP(Edin), FRCOG
Professor of Obstetrics and Gynaecology
St James's University Hospital
Leeds
UK
Раскрытие информации
JW declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
American College of Obstetricians and Gynecologists. ACOG practice bulletin no. 222: gestational hypertension and preeclampsia. Jun 2020 [internet publication].Полный текст Аннотация
Magee LA, Brown MA, Hall DR, et al. The 2021 International Society for the Study of Hypertension in Pregnancy classification, diagnosis & management recommendations for international practice. Pregnancy Hypertens. 2022 Mar;27:148-69. Аннотация
National Institute for Health and Care Excellence. Hypertension in pregnancy: diagnosis and management. Apr 2023 [internet publication].Полный текст
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Pré-eclâmpsia
- Eclâmpsia
- Hipertensão essencial
Больше ОтличияDiretrizes
- Hypertension in pregnancy guideline
- Hypertension in pregnancy: diagnosis and management
Больше DiretrizesFolhetos informativos para os pacientes
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Diabetes: o que posso fazer para me manter saudável?
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