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Management of PET

Hypertensive Disorders in Pregnancy . -Chronic HTN-Preeclampsia, Eclampsia-Preeclampsia superimposed on chronic HTN-Gestational Hypertension (Pregnancy induced HTN). Chronic HTN . 1-Preexisting HTN2-Systolic >=140, Diastolic >=90 or both 3-Present before 20wks pregnanc

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Management of PET

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    1. Management of PET By: Suleiman Ghunaim Alaa Suradi Supervised By: Dr. Okbah Al-Guraan

    2. Hypertensive Disorders in Pregnancy -Chronic HTN -Preeclampsia, Eclampsia -Preeclampsia superimposed on chronic HTN -Gestational Hypertension (Pregnancy induced HTN)

    3. Chronic HTN 1-Preexisting HTN 2-Systolic >=140, Diastolic >=90 or both 3-Present before 20wks pregnancy 4-Lasts > 12wks postpartum 5-Could be ? Primary (Essential HTN) ? Secondary(Medical)

    4. Gestational HTN -Mild HTN without proteinurea or other signs of preeclampsia -Develops in late pregnancy(>20wks) -Resolves by 12wks postpartum -May progress onto preeclampsia

    5. Preeclampsia Superimposed on chronic HTN It is preexisting HTN with additional signs of symptoms: 1- New onset proteinurea >300mg/24hr 2-HTN + Proteinurea < 20wks gestation 3-A sudden increase in BP >30mmhg systolic or 15mmhg diastolic 4- Thrombocytopenia 5- Elevated Amino Transferrase

    6. Preeclampsia -IT IS BP >=140 / 90 AFTER 20 wks GESTATION with PROTIENUREA -Preeclampsia occurs in up to 5% of all pregnancies, in 10% in primigravid, 20-25% in women with chronic HTN -IT is classified into:

    7. (1) Mild BP > 140/90 but <160/110 Proteinuria >300 mg but <3-5 gm in 24-h urine collection (2) Sever - If one of the following criteria present: BP > 160-170/110 on two separate occasion at least 6 hours apart Proteinuria >3-5 gm in 24-h urine collection

    8. Pathophysiology

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