Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin, Number 222

Hypertensive disorders of pregnancy constitute one of the leading causes of maternal and perinatal mortality worldwide. It has been estimated that preeclampsia complicates 2-8% of pregnancies globally (). In Latin America and the Caribbean, hypertensive disorders are responsible for almost 26% of ma...

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Bibliographic Details
Published in:Obstetrics and gynecology (New York. 1953) Vol. 135; no. 6; p. e237
Format: Journal Article
Language:English
Published: United States 01.06.2020
Subjects:
Female
Humans
Hypertension, Pregnancy-Induced - diagnosis
Hypertension, Pregnancy-Induced - prevention & control
Obstetrics
Perinatal Care
Pre-Eclampsia - diagnosis
Pre-Eclampsia - prevention & control
Pregnancy
Prenatal Diagnosis
Societies, Medical
United States
United States
ISSN:1873-233X, 1873-233X
Online Access:Get more information
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Summary:Hypertensive disorders of pregnancy constitute one of the leading causes of maternal and perinatal mortality worldwide. It has been estimated that preeclampsia complicates 2-8% of pregnancies globally (). In Latin America and the Caribbean, hypertensive disorders are responsible for almost 26% of maternal deaths, whereas in Africa and Asia they contribute to 9% of deaths. Although maternal mortality is much lower in high-income countries than in developing countries, 16% of maternal deaths can be attributed to hypertensive disorders (). In the United States, the rate of preeclampsia increased by 25% between 1987 and 2004 (). Moreover, in comparison with women giving birth in 1980, those giving birth in 2003 were at 6.7-fold increased risk of severe preeclampsia (). This complication is costly: one study reported that in 2012 in the United States, the estimated cost of preeclampsia within the first 12 months of delivery was $2.18 billion ($1.03 billion for women and $1.15 billion for infants), which was disproportionately borne by premature births (). This Practice Bulletin will provide guidelines for the diagnosis and management of gestational hypertension and preeclampsia.
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ISSN:1873-233X
1873-233X
DOI:10.1097/AOG.0000000000003891