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High blood pressure complicates approximatively 10 % of pregnancies, and is associated with an increase of mortality within mothers and fetuses. We can distinguish 4 different types of high blood pressure: chronic high blood pressure, pregnancy related, preeclampsia and eclampsia has importance given the severity of the prognosis of the last two. This is carried out by measuring the blood pressure and proteinuria. Low doses of aspirin and calcium have proved be effective in preventing in recurrence of preeclampsia. A medicinal therapy during high blood pressure during pregnancy helps prevent the occurrence of maternal and fetal complications. Thus, when the systolic blood pressure is at or above 160 mm Hg or the diastolic blood pressure is at or above 110 mm Hg, pharmacological treatment is recommended. However, to lower values, data such as the “Evidence Base Medicine” are insufficient and therefore the non-pharmacological treatment is more convenient in this case. However, above 150/100 mm Hg in the presence of risk factors, it would be interesting to provide a treatment and decrease it if the PA is less than 130/80 mm Hg. Among the therapeutic arsenal for the treatment of hypertension among pregnant women the most used antihypertensive drugs are methyldopa, labetalol and nifedipine. However during pregnancy, the receptor antagonists taken angiotensin II inhibitors and IECA are contraindicated due to their toxic effect on the fetus. Similarly, diuretics are also contraindicated except for low-doses of thiazides taken prior to the pregnancy. L’hypertension complique approximativement 10% des grossesses et est associée à une augmentation des morbidités et mortalités maternelles et fœtales.On distingue 4 différentes hypertensions: l’hypertension chronique, l'hypertension gravidique, la prééclamspie et la prééclampsie surajoutée à une HTA ou une néphropathie . La distinction entre l 'hypertension chronique, la prééclampsie et l’éclampsie a toute son importance vu la gravité du pronostic des deux dernières. Le diagnostic se réalise par la mesure de la tension artérielle et de la protéinurie. L'aspirine à des doses antiagrégants et le calcium se sont révélés comme traitement préventif des récidives de prééclamspie.Une prise en charge médicamenteuse lors d'une HTA pendant la grossesse permet d'éviter la survenue de complications maternelles et fœtales. Ainsi, lorsque la PA systolique atteint ou dépasse 160 mm Hg ou que la PA diastolique atteint ou dépasse 110 mm Hg, le traitement pharmacologique est recommandé. Cependant, à des valeurs inférieures, les données de type "Evidence Base Medecine sont insuffisantes et donc le traitement non pharmacologique est privilégié dans ce cas-là. En revanche, au-dessus de 15011OO mm Hg et en présence de facteurs de risque, il serait intéressant de proposer un traitement. Parmi l'arsenal thérapeutique disponible pour la prise en charge de l'hypertension chez la femme enceinte, on trouve l'a.-méthyldopa, le labétolol et la nifédipine qui représentent les médicaments antihypertenseurs les plus employés. Par contre pendant la grossesse, la prise d 'antagonistes du récepteur à l’ angiotensine II et d'IECA sont contre-indiqués dus à leurs effets toxiques sur le fœtus. Dans le même esprit, les diurétiques sont également contre-indiqués sauf pour les thiazides à faible dose pris antérieurement à la grossesse.

Hypertension, Pregnancy-Induced

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Hypertension, Pregnancy-Induced --- Eclampsia --- Pre-Eclampsia --- Preeclampsia --- Prééclampsie --- Toxemia --- Prééclampsie --- Hypertension, Pregnancy-Induced. --- Eclampsia. --- Pre-Eclampsia.

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Hypertension in pregnancy --- Toxemia of pregnancy --- Blood pressure --- Blood pressure. --- Hypertension in pregnancy. --- Toxemia of pregnancy. --- Hypertension, Pregnancy-Induced. --- Gestational Hypertension --- Pregnancy Induced Hypertension --- Transient Hypertension, Pregnancy --- Hypertension, Gestational --- Hypertension, Pregnancy Induced --- Hypertension, Pregnancy Transient --- Hypertensions, Pregnancy Induced --- Induced Hypertension, Pregnancy --- Induced Hypertensions, Pregnancy --- Pregnancy Transient Hypertension --- Pregnancy-Induced Hypertension --- Gestosis --- Pregnancy toxemia --- Pregnancy toxemias --- Blood --- Pressure --- Hypertension, Pregnancy-Induced --- Body fluids --- Hemodynamics --- Vital signs --- Vascular resistance --- Health Sciences --- Obstetrics and Gynecology --- zwangerschap --- vrouwen --- Gynecology & Obstetrics

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Outcome Assessment (Health Care) --- Hypertension, Pregnancy-Induced --- Cardiovascular Agents --- Prognosis --- Pregnancy Complications --- Outcome and Process Assessment (Health Care) --- Diagnosis --- Therapeutic Uses --- Female Urogenital Diseases and Pregnancy Complications --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Quality of Health Care --- Health Care Evaluation Mechanisms --- Pharmacologic Actions --- Diseases --- Health Services Administration --- Chemical Actions and Uses --- Health Care --- Health Care Quality, Access, and Evaluation --- Chemicals and Drugs --- Treatment Outcome --- Eclampsia --- Pre-Eclampsia --- Antihypertensive Agents --- Treatment Outcome. --- prevention & control. --- drug therapy. --- therapeutic use.