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Management of Hypertension in the Obese Pregnant Patient
PURPOSE OF REVIEW: To evaluate recent developments in the management of hypertension in obese pregnant women. RECENT FINDINGS: The mainstay of management targets prevention of hypertension with preconception counselling, entering pregnancy with a lower BMI, limiting weight gain, and taking low-dose...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435623/ https://www.ncbi.nlm.nih.gov/pubmed/30915600 http://dx.doi.org/10.1007/s11906-019-0927-x |
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author | Coroyannakis, Christina Khalil, Asma |
author_facet | Coroyannakis, Christina Khalil, Asma |
author_sort | Coroyannakis, Christina |
collection | PubMed |
description | PURPOSE OF REVIEW: To evaluate recent developments in the management of hypertension in obese pregnant women. RECENT FINDINGS: The mainstay of management targets prevention of hypertension with preconception counselling, entering pregnancy with a lower BMI, limiting weight gain, and taking low-dose aspirin to prevent pre-eclampsia from before 16 weeks’ gestation. There are conflicting results regarding the use of metformin in reducing hypertensive disease, but there is a high probability that it has a role to play. Clinical trials are in progress examining the use of statins in preventing pre-eclampsia, with promising results from pre-clinical trials. Home blood pressure monitoring may be helpful in diagnosing and monitoring the control of hypertension. SUMMARY: The most protective interventions against hypertensive disease in obese pregnant women are entering pregnancy at a lower BMI, avoiding inter-pregnancy weight gain, and taking low-dose aspirin during pregnancy. Further research is needed around the use of metformin, statins, and home blood pressure monitoring. |
format | Online Article Text |
id | pubmed-6435623 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-64356232019-04-15 Management of Hypertension in the Obese Pregnant Patient Coroyannakis, Christina Khalil, Asma Curr Hypertens Rep Hypertension and Metabolic Syndrome (John Sperati, Section Editor) PURPOSE OF REVIEW: To evaluate recent developments in the management of hypertension in obese pregnant women. RECENT FINDINGS: The mainstay of management targets prevention of hypertension with preconception counselling, entering pregnancy with a lower BMI, limiting weight gain, and taking low-dose aspirin to prevent pre-eclampsia from before 16 weeks’ gestation. There are conflicting results regarding the use of metformin in reducing hypertensive disease, but there is a high probability that it has a role to play. Clinical trials are in progress examining the use of statins in preventing pre-eclampsia, with promising results from pre-clinical trials. Home blood pressure monitoring may be helpful in diagnosing and monitoring the control of hypertension. SUMMARY: The most protective interventions against hypertensive disease in obese pregnant women are entering pregnancy at a lower BMI, avoiding inter-pregnancy weight gain, and taking low-dose aspirin during pregnancy. Further research is needed around the use of metformin, statins, and home blood pressure monitoring. Springer US 2019-03-26 2019 /pmc/articles/PMC6435623/ /pubmed/30915600 http://dx.doi.org/10.1007/s11906-019-0927-x Text en © The Author(s) 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Hypertension and Metabolic Syndrome (John Sperati, Section Editor) Coroyannakis, Christina Khalil, Asma Management of Hypertension in the Obese Pregnant Patient |
title | Management of Hypertension in the Obese Pregnant Patient |
title_full | Management of Hypertension in the Obese Pregnant Patient |
title_fullStr | Management of Hypertension in the Obese Pregnant Patient |
title_full_unstemmed | Management of Hypertension in the Obese Pregnant Patient |
title_short | Management of Hypertension in the Obese Pregnant Patient |
title_sort | management of hypertension in the obese pregnant patient |
topic | Hypertension and Metabolic Syndrome (John Sperati, Section Editor) |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435623/ https://www.ncbi.nlm.nih.gov/pubmed/30915600 http://dx.doi.org/10.1007/s11906-019-0927-x |
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