Chronic Hypertension in Pregnancy

Abstract

Chronic hypertension affects approximately 65 million Americans, including 8% of reproductive-age women.1 One percent to 5% of all pregnancies occur in women with chronic hypertension.2 As overweight and obesity are well-established risk factors for the development of hypertension, and with the current epidemic of obesity in the United States, obstetricians will undoubtedly care for many patients with this condition. Nevertheless, there is a wide inconsistency in approaches to diagnosis and treatment of hypertension in pregnancy and therefor a gap between ideal, evidence-based care and that seen throughout the country. It is important to review the impact of this condition on maternal and neonatal outcomes and review current evidence regarding pregnancy management and potential implications of chronic hypertension during pregnancy.