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The case: A previously healthy 37-year-old woman (gravida 3, para 1 with 2 first-trimester miscarriages) had an unremarkable pregnancy until the 35th week. Her blood pressure readings during pregnancy were [...]

Practice recommendations * Screening for gestational diabetes using urine dipsticks for glycosuria is ineffective with low sensitivities. False-positive tests outnumber true positives 11:1. A 50-g oral glucose challenge is a [...]

Pheochromocytoma accounts for only 0.1% of hypertension found in adults between 40 and 70 years of age. Although it is extremely rare in pregnancy, if it occurs and is unrecognized [...]

A Systematic Review of the Evidence * BACKGROUND There is uncertainty about the best management of mild (blood pressure [is less than] 160/110) chronic hypertension during pregnancy. Our objective was [...]

Hypertensive disorders of pregnancy cover a spectrum of conditions, including chronic (preexisting) hypertension, pre-eclampsia, and gestational hypertension. They cause one in 50 stillbirths in normal babies and 10% of all [...]

A woman experiencing her first pregnancy had an expected due date of December 5. She had been attending her prenatal appointments regularly with the defendant obstetrician/gynecologist. In October, she presented [...]

Women who have placental syndromes are at high risk for premature cardiovascular disease, particularly if there is associated fetal compromise, according to Dr. Joel G. Ray, of the University of [...]

Although physicians have long recommended bed rest or restricted activity for pregnant women with hypertension, a systematic review of available studies found only weak evidence that this practice benefits women [...]

WASHINGTON -- The term 'prenatal care' should be rethought to include much more of a woman's life cycle, Dawn Misra, Ph.D., said at a meeting sponsored by the Jacobs Institute [...]

ASHEVILLE, N.C. -- Aiming for "normal" blood pressure in a pregnant patient with chronic hypertension may set the fetus up for problems by worsening preexisting placental insufficiency, Christy Isler, M.D., [...]

SAN FRANCISCO -- If mild to moderate hypertension is well controlled by medical therapy at the time of conception, consider continuing treatment throughout pregnancy, Mari-Paule Thiet, M.D., said at a [...]

SARASOTA, FLA. -- Treatment of chronic hypertension in pregnancy does not appear to prevent preeclampsia, but it can prevent end organ damage and should be considered in patients with a [...]