postpartum hypertension

post·par·tum hy·per·ten·sion

increased blood pressure immediately following the completion of labor.
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LAS VEGAS -- A text messaging program connected black women at risk of postpartum hypertension with the care they needed to avoid blood pressure complications, Adi Hirshberg, MD, reported at the Pregnancy Meeting.
Past medical history included mild persistent asthma treated with albuterol and budesonide-formoterol, postpartum hypertension treated with hydralazine 10 mg PO every 8 hours and chlorthalidone 25 mg PO daily, environmental allergies treated with cetirizine as needed, gastroesophageal reflux disease treated with esomeprazole, prolactinoma treated with cabergoline, and irritable bowel syndrome.
In their report, they describe the patients' various ocular findings including serous retinal detachment (SRD) and macular hemorrhage due to disrupted retinal and choroidal circulation; the management and spontaneous resolution of their conditions; and the need to seriously evaluate postpartum hypertension and visual symptoms.
Postpartum hypertension. The need for recognition of hypertension in the postpartum period is emphasized, as well as appropriate management, using the following guidelines:
Postpartum hypertension may be related to preexisting chronic hypertension or to the persistence of gestational hypertension or preeclampsia, which usually occurs after 20 weeks' gestation and is characterized by the presence of hypertension and proteinuria.
Postpartum hypertension and nonsteroidal analgesia.
There are very few studies investigating about the physiology and pathology of the different puerperal changes that can induce the onset and appearance of the postpartum hypertension.
[Yet] there is little information on how best to treat postpartum hypertension in order to minimize maternal hospital stay and optimize maternal safety," she pointed out.
[Yet] there is little information on how best to treat postpartum hypertension in order minimize maternal hospital stay and optimize maternal safety," she said.
Despite these somewhat grim statistics, postpartum hypertension and postpartum preeclampsia are readily managed and treatable.
Nifedipine is associated with improved renal blood flow and a resultant increase in urine output, making it preferable for patients with decreased urine output or severe postpartum hypertension. (10)
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