Question
Discuss hypertensive disorders in pregnancy. Explain their classification, complications and management.
Answer :
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Hypertensive disorders in pregnancy constitute a major cause of maternal and perinatal morbidity and mortality. They complicate about 5–10% of all pregnancies and are a key concern in reproductive health due to their impact on both mother and fetus. Classification Hypertensive disorders in pregnancy are broadly classified into the following categories: 1. Gestational Hypertension * New onset hypertension (≥140/90 mmHg) after 20 weeks of gestation * No proteinuria or systemic features * Blood pressure returns to normal within 12 weeks postpartum 2. Preeclampsia * Hypertension after 20 weeks with proteinuria (≥300 mg/24 hours) or end-organ dysfunction * Can be mild or severe
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