Abnormal Development - Hypertension

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Educational Use Only - Embryology is an educational resource for learning concepts in embryological development, no clinical information is provided and content should not be used for any other purpose.

Introduction

Hypertensive disorders of pregnancy (maternal hypertension) can be environmental, genetic or of unknown causes, occurs in 2-3% (some say higher) of all pregnancies and has an increasing incidence associated with obesity. This page mainly focusses on the effects of hypertension on development, rather than the maternal health condition.

Hypertension has previously been grouped into 4 classes:[1]

  1. chronic hypertension
  2. preeclampsia-eclampsia
  3. preeclampsia superimposed on chronic hypertension
  4. gestational hypertension (transient hypertension of pregnancy , chronic hypertension after GA 20 weeks)


Draft Page - Notice removed when completed.


Environmental Links: Introduction | Low Folic Acid | Iodine Deficiency | Nutrition | Drugs | Australian Drug Categories | USA Drug Categories | Thalidomide | Herbal Drugs | Illegal Drugs | Smoking | Fetal Alcohol Syndrome | TORCH Infections | Viral Infection | Bacterial Infection | Zoonotic Infection | Toxoplasmosis | Malaria | Maternal Diabetes | Maternal Hypertension | Maternal Hyperthermia | Maternal Inflammation | Maternal Obesity | Hypoxia | Biological Toxins | Chemicals | Heavy Metals | Radiation | Prenatal Diagnosis | Neonatal Diagnosis | International Classification of Diseases | Fetal Origins Hypothesis

Some Recent Findings

More recent papers  
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  • Therefore the list of references do not reflect any editorial selection of material based on content or relevance.
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Search term: Maternal Hypertension

Corina N Schoen, Sindy C Moreno, Gabriele Saccone, Nora M Graham, Lauren C Hand, Giuseppe M Maruotti, Pasquale Martinelli, Vincenzo Berghella, Amanda Roman Outpatient vs inpatient management for superimposed preeclampsia without severe features: a retrospective, multicenter study. J. Matern. Fetal. Neonatal. Med.: 2017;1-21 PubMed 28532255

Jorge Duro-Gómez, Ana B Rodríguez-Marín, Mercedes Giménez de Azcárete, Lourdes Duro-Gómez, Claudio Hernández-Angeles, José E Arjona-Berral, Camil Castelo-Branco A trial of oral nifedipine and oral labetalol in preeclampsia hypertensive emergency treatment. J Obstet Gynaecol: 2017;1-3 PubMed 28531362

Shi Wu Wen, Hongzhuan Tan, Ravi Retnakaran, Minxue Shen, Shujin Zhou, Ri-Hua Xie, Graeme N Smith, Sandra T Davidge, Jacquetta Trasler, Mark C Walker Pre-gravid predictors of new onset hypertension in pregnancy - Results from a pre-conception cohort study in China. Eur. J. Obstet. Gynecol. Reprod. Biol.: 2017, 214;140-144 PubMed 28528249

Archana B Patel, Amber Abhijeet Prakash, Camille Raynes-Greenow, Yamini V Pusdekar, Patricia L Hibberd Description of inter-institutional referrals after admission for labor and delivery: a prospective population based cohort study in rural Maharashtra, India. BMC Health Serv Res: 2017, 17(1);360 PubMed 28526027

Tijana Drobnjak, Sveinbjörn Gizurarson, Natalia I Gokina, Hamutal Meiri, Maurizio Mandalá, Berthold Huppertz, George Osol Placental protein 13 (PP13)-induced vasodilation of resistance arteries from pregnant and nonpregnant rats occurs via endothelial-signaling pathways. Hypertens Pregnancy: 2017;1-10 PubMed 28524718


Search term: Gestational Hypertension

Hyeong Ju Kim, Jae-Hoon Kim, Doo Byung Chay, Joo Hyun Park, Min-A Kim Association of isolated single umbilical artery with perinatal outcomes: Systemic review and meta-analysis. Obstet Gynecol Sci: 2017, 60(3);266-273 PubMed 28534012

Wioletta Waksmańska, Rafał Bobiński, Izabela Ulman-Włodarz, Anna Pielesz, Monika Mikulska The dietary composition of women who delivered preterm and full-term infants. Appl Nurs Res: 2017, 35;13-17 PubMed 28532720

Corina N Schoen, Sindy C Moreno, Gabriele Saccone, Nora M Graham, Lauren C Hand, Giuseppe M Maruotti, Pasquale Martinelli, Vincenzo Berghella, Amanda Roman Outpatient vs inpatient management for superimposed preeclampsia without severe features: a retrospective, multicenter study. J. Matern. Fetal. Neonatal. Med.: 2017;1-21 PubMed 28532255

Shi Wu Wen, Hongzhuan Tan, Ravi Retnakaran, Minxue Shen, Shujin Zhou, Ri-Hua Xie, Graeme N Smith, Sandra T Davidge, Jacquetta Trasler, Mark C Walker Pre-gravid predictors of new onset hypertension in pregnancy - Results from a pre-conception cohort study in China. Eur. J. Obstet. Gynecol. Reprod. Biol.: 2017, 214;140-144 PubMed 28528249

Rachel A Sievert, Spencer G Kuper, Victoria C Jauk, Melissa Parrish, Joseph R Biggio, Lorie M Harper Predictors of vaginal delivery in medically indicated early preterm induction of labor. Am. J. Obstet. Gynecol.: 2017; PubMed 28526449


Search term: Preeclampsia

Mo Li, Yifan Jia, Yan Ling, Yilu Chen, Lu Zhang, Dan Luo, Lidan Lai, Meijun Guo, Dalei Zhang, Min Ren, Hong Xu, Haibin Kuang Reduced expression of follicle stimulating hormone receptor mRNA and protein in pregnancies complicated by pre‑eclampsia. Mol Med Rep: 2017; PubMed 28534997

Li-Jie Zhang, Qian Xie, Chao-Shu Tang, Ai-Hua Zhang Expressions of irisin and urotensin II and their relationships with blood pressure in patients with preeclampsia. Clin. Exp. Hypertens.: 2017;1-8 PubMed 28534711

Mi Jung Kim, Young Nam Kim, Eun Jung Jung, Hye Ree Jang, Jung Mi Byun, Dae Hoon Jeong, Moon Su Sung, Kyung Bok Lee, Ki Tae Kim Is massive proteinuria associated with maternal and fetal morbidities in preeclampsia? Obstet Gynecol Sci: 2017, 60(3);260-265 PubMed 28534011

Wioletta Waksmańska, Rafał Bobiński, Izabela Ulman-Włodarz, Anna Pielesz, Monika Mikulska The dietary composition of women who delivered preterm and full-term infants. Appl Nurs Res: 2017, 35;13-17 PubMed 28532720

Yuli Mawarti, Adi Utarini, Mohammad Hakimi Maternal care quality in near miss and maternal mortality in an academic public tertiary hospital in Yogyakarta, Indonesia: a retrospective cohort study. BMC Pregnancy Childbirth: 2017, 17(1);149 PubMed 28532393

Gestational Hypertension

Gestational hypertension was previously called pregnancy-induced hypertension (PIH) and is the new onset of hypertension after 20 weeks of gestation.


Pre-Eclampsia

This condition is also known as gestational proteinuric hypertension and occurs in occurs in approximately 2 to 4% of all pregnancies. The pathogenesis of eclamptic convulsions remains unknown and women with a history of eclampsia are at increased risk of eclampsia (1-2%) and preeclampsia (22-35%) in subsequent pregnancies. "Magnesium sulfate is the drug of choice for reducing the rate of eclampsia developing intrapartum and immediately postpartum."(see Sibai BM. 2005).

Recent research using a large population study in Norway has shown a strong generational association such that daughters of women who had pre-eclampsia during pregnancy had more than twice the risk of pre-eclampsia themselves. The paper concludes "Maternal genes and fetal genes from either the mother or father may trigger pre-eclampsia. The maternal association is stronger than the fetal association. The familial association predicts more severe pre-eclampsia."[2]

References

  1. Alessia Mammaro, Sabina Carrara, Alessandro Cavaliere, Santina Ermito, Angela Dinatale, Elisa Maria Pappalardo, Mariapia Militello, Rosa Pedata Hypertensive disorders of pregnancy. J Prenat Med: 2009, 3(1);1-5 PubMed 22439030
  2. Rolv Skjaerven, Lars J Vatten, Allen J Wilcox, Thorbjørn Rønning, Lorentz M Irgens, Rolv Terje Lie Recurrence of pre-eclampsia across generations: exploring fetal and maternal genetic components in a population based cohort. BMJ: 2005, 331(7521);877 PubMed 16169871

Reviews

Jennifer A Hutcheon, Sarka Lisonkova, K S Joseph Epidemiology of pre-eclampsia and the other hypertensive disorders of pregnancy. Best Pract Res Clin Obstet Gynaecol: 2011, 25(4);391-403 PubMed 21333604

Lawrence Leeman, Patricia Fontaine Hypertensive disorders of pregnancy. Am Fam Physician: 2008, 78(1);93-100 PubMed 18649616


Articles

A S Ahmad, S O Samuelsen Hypertensive disorders in pregnancy and fetal death at different gestational lengths: a population study of 2 121 371 pregnancies. BJOG: 2012, 119(12);1521-8 PubMed 22925135

Alessia Mammaro, Sabina Carrara, Alessandro Cavaliere, Santina Ermito, Angela Dinatale, Elisa Maria Pappalardo, Mariapia Militello, Rosa Pedata Hypertensive disorders of pregnancy. J Prenat Med: 2009, 3(1);1-5 PubMed 22439030


External Links

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Environmental Links: Introduction | Low Folic Acid | Iodine Deficiency | Nutrition | Drugs | Australian Drug Categories | USA Drug Categories | Thalidomide | Herbal Drugs | Illegal Drugs | Smoking | Fetal Alcohol Syndrome | TORCH Infections | Viral Infection | Bacterial Infection | Zoonotic Infection | Toxoplasmosis | Malaria | Maternal Diabetes | Maternal Hypertension | Maternal Hyperthermia | Maternal Inflammation | Maternal Obesity | Hypoxia | Biological Toxins | Chemicals | Heavy Metals | Radiation | Prenatal Diagnosis | Neonatal Diagnosis | International Classification of Diseases | Fetal Origins Hypothesis


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Cite this page: Hill, M.A. 2017 Embryology Abnormal Development - Hypertension. Retrieved May 25, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/Abnormal_Development_-_Hypertension

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