gestational hypertenion

the development of new hypertension in a pregnant woman after 20 weeks gestation without the presence of protein in the urine or other signs of preeclampsia.

Differences

• Gestational hypertension is usually defined as having a blood pressure higher than 140/90 measured on two separate occasions, more than 6 hours apart, without the presence of protein in the urine and diagnosed after 20 weeks of gestation.
• Preeclampsia
• is gestational hypertension plus proteinuria (>300 mg of protein in a 24-hour urine sample). Severe preeclampsia involves a blood pressure greater than 160/110, with additional medical signs and symptoms. HELLP syndrome is a type of preeclampsia. It is a combination of three medical conditions: hemolytic anemia, elevated liver enzymes and low platelet count.
• Eclampsia
• This is when tonic-clonic seizures appear in a pregnant woman with high blood pressure and proteinuria
• Eclampsia \
• preeclampsia plus convulsion .

Risk factors

• Maternal causes -Obesity -Age 35 years or more. -Past history of D.M, Hypertension and Renal diseases. -Adolescent pregnancy. -New paternity. -Having donated a kidney.
• Pregnancy -Multiple gestation ( twins or triplets, etc.) - Placental abnormalities: 1. Hyperplacentosis : Excessive exposure to chorionic villi. 2. Placental ischemia.

Treatment

• antihypertensives may negatively affect the fetus. Methyldopa, hydralazine, and labetalol are most commonly used for severe pregnancy hypertension.

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