Emerging concepts since the Chronic Hypertension and Pregnancy trial

Review Obstetrics & Gynecology

Proteinuria during pregnancy: definition, pathophysiology, methodology, and clinical significance

Michal Fishel Bartal et al.

Summary: In pregnancy, the measurement of urine protein excretion is common, and recent guidelines suggest that proteinuria alone is sufficient for the diagnosis of preeclampsia. While a 24-hour urine collection is the reference standard, the urine protein-to-creatinine ratio is a reasonable test to rule out proteinuria.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2022)

Add to Collection

Article Medicine, General & Internal

Treatment for Mild Chronic Hypertension during Pregnancy

A. T. Tita et al.

Summary: In pregnant women with mild chronic hypertension, a strategy of targeting a blood pressure of less than 140/90 mm Hg was associated with better pregnancy outcomes compared to a strategy of reserving treatment only for severe hypertension, without increasing the risk of small-for-gestational-age birth weight.

NEW ENGLAND JOURNAL OF MEDICINE (2022)

Add to Collection

Article Obstetrics & Gynecology

Guideline No. 426: Hypertensive Disorders of Pregnancy: Diagnosis, Prediction, Prevention, and Management

Laura A. Magee et al.

Summary: This guideline reviews the diagnosis, evaluation, and management of hypertensive disorders of pregnancy (HDPs), prediction and prevention of preeclampsia, and postpartum care. The recommendations are based on a comprehensive literature review and prioritize randomized controlled trials and systematic reviews to support therapeutic recommendations. Implementation of these recommendations may reduce the incidence of HDPs and associated adverse outcomes.

JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA (2022)

Add to Collection

Article Obstetrics & Gynecology

Medically Indicated Late-Preterm and Early-Term Deliveries ACOG Committee Opinion Summary, Number 818

Cynthia Gyamfi-Bannerman et al.

Summary: The neonatal risks of late-preterm and early-term births have been well studied, but there are circumstances where early delivery may be needed due to maternal, fetal, or placental complications. The decision to deliver earlier than 39 weeks should take into account balancing risks and benefits for both the mother and newborn.

OBSTETRICS AND GYNECOLOGY (2021)

Add to Collection

Article Obstetrics & Gynecology

Indications for Outpatient Antenatal Fetal Surveillance ACOG Committee Opinion, Number 828

Rita Wesley Driggers et al.

Summary: The Committee Opinion provides guidance on indications, timing, and frequency of antenatal fetal surveillance, emphasizing the importance of individualized decisions.

OBSTETRICS AND GYNECOLOGY (2021)

Add to Collection

Article Obstetrics & Gynecology

Antepartum Fetal Surveillance ACOG Practice Bulletin, Number 229

Dwight J. Rouse

Summary: The goal of antepartum fetal surveillance is to evaluate the fetal well-being and reduce the risk of stillbirth. Techniques based on assessment of fetal heart rate (FHR) patterns, in combination with real-time ultrasonography and umbilical artery Doppler velocimetry, are used to assess the risk of fetal death in pregnancies complicated by preexisting or developing maternal conditions.

OBSTETRICS AND GYNECOLOGY (2021)

Add to Collection

Article Peripheral Vascular Disease