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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...

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Autores principales: Coroyannakis, Christina, Khalil, Asma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2019
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.
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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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