Antihypertensive therapy in pregnant women

Makarov O.V.; Volkova E.V.; Vinokurova I.N.

doi:https://doi.org/

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Abstract:

The review article puts emphasis on that there are now no unified standards for antihypertensive therapy in pregnant women. Antihypertensive therapy is considered to assure reliable blood pressure (BP) monitoring, to promote prolongation of pregnancy, and to decrease the risk of maternal and perinatal morbidity and mortality. At the same time inadequate antihypertensive therapy or incorrect dose adjustment can lower BP, which may give rise to maternal-placental circulatory and fetal hemodynamic disorders. When antihypertensive therapy is given, its efficiency should be monitored by not only BP levels, but also by uterine-placental blood flow changes.

Keywords:

pregnancy

preeclampsia

chronic essential hypertension

antihypertensive therapy

control of maternal-placental perfusion

Authors:

Makarov O.V.

Kafedra akusherstva i ginekologii lechebnogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta

Volkova E.V.

Kafedra akusherstva i ginekologii lechebnogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta

Vinokurova I.N.

Kafedra akusherstva i ginekologii lechebnogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova, Moskva

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