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Home > Emergency Medical Minute > Laboring Under Pressure Episode 3: Hypertensive Disorders of Pregnancy with Dr. Kiersten Williams
Podcast: Emergency Medical Minute
Episode:

Laboring Under Pressure Episode 3: Hypertensive Disorders of Pregnancy with Dr. Kiersten Williams
Category: Science & Medicine
Duration: 00:28:19
Publish Date: 2024-09-12 11:00:00
Description:

Contributor: Kiersten Williams MD, Travis Barlock MD, Jeffrey Olson MS2

Show Pearls

  • Hypertensive disorders of pregnancy are one of the leading causes of maternal mortality worldwide.

  • Hypertension (HTN) complicates 2-8% of pregnancies

  • The definition of HTN in pregnancy is a systolic >140 or diastolic >90, measured 4 hours apart

  • There is a range of HTN disorders

    • Chronic HTN which could have superimposed preeclampsia (preE) on top

    • Gestational HTN in which there are no lab abnormalities

    • PreE w/o severe features

      • Protein in urine

      • Urine protein >300 mg in 24 hours

      • Urine Protein to Creatinine ratio of .3

      • +2 Protein on urine dipstick

    • PreE w/ severe features

      • Systolics above 160 mmHg

      • Diastolics above 110 mmHg

      • Headache, especially not going away with meds, or different than previous headaches

      • Visual changes, anything that lasts more than a few minutes

      • RUQ pain, which could present as heartburn

      • Pulmonary edema

      • Low platelets, if
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