Identifying and definitional attributes
|Metadata item type:||Glossary Item|
|Registration status:||Health, Standard 03/12/2020|
Hypertensive disorder during pregnancy includes pre-existing hypertensive disorders, hypertension arising in pregnancy and associated disorders such as eclampsia and preeclampsia.
Hypertension in pregnancy is defined as:
1. Systolic blood pressure greater than or equal to 140 mmHg and/or
2. Diastolic blood pressure greater than or equal to 90 mmHg.
Measurements should be confirmed by repeated readings over several hours. Elevations of both systolic and diastolic blood pressures have been associated with adverse fetal outcome and therefore both are important.
Disorders associated with hypertension such as eclampsia and preeclampsia are further characterised by symptoms such as proteinuria, oedema or high body temperature.
There are several reasons to support the blood pressure readings defined above as diagnostic of hypertension in pregnancy:
This definition of hypertensive disorder in pregnancy from the Society of Obstetric Medicine in Australia and New Zealand (SOMANZ) (Lowe et al. 2014) aligns with the definition of the International Society for the Study of Hypertension in Pregnancy (ISSHP).
Source and reference attributes
Lowe SA, Bowyer L, Lust K, McMahon LP, Morton MR, North RA et al. 2014. Guideline for the management of hypertensive disorders of pregnancy. Society of Obstetric Medicine of Australia and New Zealand. Viewed 18 September 2020, https://ranzcog.edu.au/RANZCOG_SITE/media/RANZCOG-MEDIA/Women%27s%20Health/SOMANZ-Hypertension-Pregnancy-Guideline-April-2014.pdf?ext=.pdf
Brown M, Lindheimer M, Swiet M, Assche A and Moutquin J-M 2001. The classification and diagnosis of the hypertensive disorders of pregnancy: statement from the International Society for the Study of Hypertension in Pregnancy (ISSHP). Hypertension in pregnancy 20(1), ix-xiv.
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Supersedes Hypertensive disorder during pregnancy Health, Superseded 03/12/2020
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