Hypertensive disorders included mild, severe, or superimposed preeclampsia
, eclampsia, and gestational hypertension diagnosed in the antepartum period.
Previous pre-eclampsia as an independent risk for superimposed preeclampsia
was reported to be associated with about 5-fold increase for the risk (OR: 4.
Study participants were [greater than or equal to]20 weeks gestational age and had new onset of hypertension with or without suspicion of preeclampsia or chronic hypertension (before 20 weeks of gestation) with suspected superimposed preeclampsia.
4%); among these, 23 had chronic hypertension with superimposed preeclampsia and 259 had primary preeclampsia.
At present, evidence suggests that treatment of this group does not improve maternal or perinatal outcome and does not decrease the risk of developing superimposed preeclampsia.
69) Superimposed preeclampsia is especially increased in women with chronic severe hypertension and in women with preexisting cardiovascular or renal disease.
These outcomes included the estimated gestational age at delivery, the proportion of women undergoing vaginal or cesarean delivery, the proportion with superimposed preeclampsia
, and the length of their hospital stays.
Approximately 20% of women with chronic hypertension and 50% of those with chronic severe hypertension develop superimposed preeclampsia during pregnancy.
Discontinue diuretics if there's any evidence of superimposed preeclampsia or intrauterine growth restriction.
Both groups had high rates of superimposed preeclampsia
(41% of the eariyreferral group and 50% of those referred later), but severe preeclampsia was less common in those referred early (13% vs.
In consulation with a rheumatologist and nephrologist--and after an unsuccessful trial of steroids that ruled out a lupus flare--we were able to diagnose lupus nephritis with superimposed preeclampsia