Medicine an Surgery notes

Apr 24th, 2015
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PROTOCOL FOR SCREENING FOR HYPERTENSION IN PREGNANCYOBJECTIVES1. Define criteria hypertension in pregnancy.2. Highlight the importance to of screening to patients and possible complications associated with hypertension in pregnancy3. Identify possible risk factors4. Screening tools to be use when and how.5. Classify on the type.6. Criteria for antenatal follow up.7. Advice on home monitoring. Symptomatic and diagnostic.CRITERIA HYPERTENSION IN PREGNANCY.Any of the below three justify a diagnosis of hypertensive disease in pregnancy.1. Systolic pressure of above 140mm/Hg or a change of more than 30mm/Hg at two different occasions at least 6 hrs apart.2. Diastolic pressure of above 90mm/Hg or a change o more than 15mm/Hg at two different occasions at least 6 hrs apart.3. A mean arterial arterial pressure of mm/Hg or a rise of 20mm/Hg at last 6 hrs apartRISK FACTORS TO BE IDENTIFIED1. Underlying chronic hypertension2. Obesity3. First pregnancy4. Age: <18 and > 355. Family history of hypertension.6. Pre existing diabetes mellitus7. Multiple gestation8. Renal disease9. Other endocrinopathies, pheochromocytoma, hyperaldosteronism, hypercortisolism.10. S

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