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Daycare assessment and hypertensive disorders of pregnancy

Published online by Cambridge University Press:  10 October 2008

JJ Walker
JJ Walker*
Affiliation:
University Department of Obstetrics and Gynaecology, St James University Hospital, Leeds, UK.
*
Professor James J Walker, University Department of Obstetrics and Gynaecology, St James University Hospital, Beckett Street, Leeds LS9 7TF, UK.
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Extract

Hypertension is a common problem occuring in around 12–15% of all pregnancies. It remains one of the major causes of maternal death. Because of its perceived risk and the difficulty in deciding who has a problem and who does not, obstetricians often admit a patient found to be hypertensive to hospital for closer observation. This “play safe” approach can cause much inconvenience to the patient and her existing family. The result of this policy is that pregnancy hypertension is responsible for around 25% of all antenatal admissions. It is a major burden on health service resources in terms of manpower and hospital accommodation. Inpatient management may vary between different hospitals but the cornerstone is to keep the patient in hospital in order to allow serial monitoring of blood presure. Strict bedrest has been suggested to have therapeutic value but this has never been substantiated. As some of these patients will progress to more severe forms of the disease, it is important that there is early recognition of any signs of progression.

Type
Articles
Information
Fetal and Maternal Medicine Review , Volume 6 , Issue 1 , February 1994 , pp. 57 - 70
Copyright
Copyright © Cambridge University Press 1994

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