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Cohort study
Hypertension during pregnancy is associated with increased risk of later cardiovascular disease, kidney disease and diabetes
  1. Andrea L Tranquilli
  1. Department of Clinical Sciences, Clinica Ostetrica Ospedale Salesi, Università Politecnica Marche, Ancona, Italy
  1. Correspondence to : Professor Andrea L Tranquilli
    Department of Clinical Sciences, Clinica Ostetrica Ospedale Salesi, Università Politecnica Marche, Ancona, Via Corridoni 11, Ancona 60123, Italy; a.l.tranquilli{at}univpm.it

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Implications for practice and research

  • Blood pressure (BP) should be measured and recorded at each clinic visit in pregnancy.

  • Hypertensive disorders of pregnancy should be carefully classified, distinguishing among ‘chronic’, occurred for the first time in pregnancy after 20 weeks, and presence or absence of proteinuria.

  • Follow-up and lifestyle changes should be prescribed for women who suffered from hypertensive disorders in pregnancy to reduce the risk of cardiovascular disease and death from myocardial infarction later in life.

  • Databases should be organised for pregnancy outcomes to provide a basis for future research, including the presence and the class of hypertensive diseases of pregnancy other than pure data such as mode and timing of delivery and neonatal weight, etc.

Context

Hypertension in pregnancy is a complex set of conditions that affects as many as 10% of …

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