Hypertensive disorders in pregnancy

In this episode Ruveena Kaur discusses hypertensive disorders in pregnancy, covering its definition, causes, maternal and fetal risks, safe treatments, and monitoring. It also discusses long-term health implications and primary care management.

Topics

Intro.
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How is chronic hypertension in pregnancy defined?
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Chronic hypertension causes.
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Developing preeclampsia, what populations are most at risk?
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What are the maternal risks in pregnancy if BP is not managed well?
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What monitoring is required during pregnancy?
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Antihypertensives in pregnancy
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Transitioning from pre-pregnancy to a safe antihypertensives
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Strategies to reduce preeclampsia risk
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The long-term maternal risks
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Do alternative & natural treatments work?
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Take-home messages
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Take home messages

Measure BP and perform a urine protein assessment with every pregnant patient.
Change current antihypertensives to pregnancy-compatible ones.
Aiming for a BP less than 135/85 mmHg while pregnant.
Pregnant women with chronic hypertension should be offered Aspirin to reduce preterm preeclampsia risk.
A patient developing hypertension in pregnancy is at greater risk of early-onset cardiovascular disease.

Presenter

Ruveena Kaur

Endocrinologist

Ruveena is an Endocrinologist, dually-specialised in Obstetric Medicine. Ruveena completed her MBChB at The University of Auckland and won awards for her research in Endocrinology and Diabetes during her specialist training. She worked overseas in Queensland, Australia as a Consultant Endocrinologist and Obstetric Physician. She now works part-time as a Consultant with the Endocrinology Department at Auckland City Hospital, and also as an Obstetric Physician at National Women’s Hospital. Ruveena has special interests in reproductive endocrinology, general endocrinology (thyroid, metabolic bone disease, pituitary, adrenal) and obstetric medicine. Ruveena is passionate about caring for her patients, knowing their stories, and helping them to achieve the best outcome on their medical journeys.