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Management of Hypertension in the Obese Pregnant Patient.

Coroyannakis, C; Khalil, A (2019) Management of Hypertension in the Obese Pregnant Patient. Curr Hypertens Rep, 21 (3). p. 24. ISSN 1534-3111 https://doi.org/10.1007/s11906-019-0927-x
SGUL Authors: Khalil, Asma

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Abstract

PURPOSE OF REVIEW: To evaluate recent developments in the management of hypertension in obese pregnant women. RECENT FINDINGS: The mainstay of management targets prevention of hypertension with preconception counselling, entering pregnancy with a lower BMI, limiting weight gain, and taking low-dose aspirin to prevent pre-eclampsia from before 16 weeks' gestation. There are conflicting results regarding the use of metformin in reducing hypertensive disease, but there is a high probability that it has a role to play. Clinical trials are in progress examining the use of statins in preventing pre-eclampsia, with promising results from pre-clinical trials. Home blood pressure monitoring may be helpful in diagnosing and monitoring the control of hypertension. The most protective interventions against hypertensive disease in obese pregnant women are entering pregnancy at a lower BMI, avoiding inter-pregnancy weight gain, and taking low-dose aspirin during pregnancy. Further research is needed around the use of metformin, statins, and home blood pressure monitoring.

Item Type: Article
Additional Information: © The Author(s) 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Keywords: Hypertension management, Obese, Pregnant, 1115 Pharmacology And Pharmaceutical Sciences
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Journal or Publication Title: Curr Hypertens Rep
ISSN: 1534-3111
Language: eng
Dates:
DateEvent
26 March 2019Published
Publisher License: Creative Commons: Attribution 4.0
PubMed ID: 30915600
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/110788
Publisher's version: https://doi.org/10.1007/s11906-019-0927-x

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