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HYPERTENSION IN PREGNANCY Associate Professor Dr Hanifullah Khan
Objectives  ,[object Object],[object Object],[object Object],[object Object]
INTRODUCTION
Introduction  ,[object Object],[object Object],[object Object]
Definitions – H/T  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pregnancy HT & Chronic HT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Definitions - PE ,[object Object],[object Object],[object Object],[object Object],[object Object]
Definition - Eclampsia ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Classification
 
Incidence ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary  ,[object Object],[object Object],[object Object],[object Object]
PATHOPHYSIOLOGY
Basic understanding  ,[object Object],[object Object],[object Object]
Trophoblast ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathology  ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2.  Altered vascular reactivity  ,[object Object],[object Object],[object Object]
3.  Coagulation disturbance ,[object Object],[object Object],[object Object],[object Object]
Summary  The development of PE is mediated through the degree of placental pathology & the maternal inflammatory response
PREECLAMPSIA & ECLAMPSIA
[object Object],[object Object],[object Object],Occurrence
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Epidemiology
Maternal personal risk factors for preeclampsia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multisystem Features Of Preeclampsia Hypertension Proteinuria Eclampsia HELLP syndrome Intra-uterine growth restriction Multi-organ disease Cerebral vessels Fetus Liver Systemic blood vessels Kidneys
Diagnosis Of PE ,[object Object],[object Object],[object Object]
Peripheral oedema ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Symptoms – non-specific
[object Object],[object Object],Severity of PE
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diagnosis of Eclampsia
EVALUATION
Evaluation of Hypertension in Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiovascular ,[object Object],[object Object],[object Object],Hematological ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Hepatic ,[object Object],[object Object],[object Object],[object Object],Central Nervous System Organ Specific Changes associated with Pre-eclampsia
Clinical presentation Symptoms Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Diagnosis: ,[object Object],[object Object],[object Object]
Differential Diagnosis Convulsions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Control of Convulsions: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prognosis: ,[object Object],[object Object],[object Object],[object Object],[object Object]
CONCLUSIONS
Summary ,[object Object],[object Object]
Maternal deaths  ,[object Object],[object Object],[object Object],[object Object]
References  ,[object Object],[object Object],[object Object],[object Object]

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Hypertensive disorders in Pregnancy