Conservative management for OB patients with Hypertensive Disorders

Literature Review
Student’s Name
Institutional Affiliation
PICOT Question: Is conservative management helpful for OB patients with hypertensive Disorders?
Introduction
Hypertensive disorders in pregnancy are the leading causes of maternal and perinatal morbidity and mortality (Taj, Akhtar, Mehnaz, S., & Furqan, 2017). .The conservative management of hypertensive disorders in pregnancy is extensive. The National Institute for Care and Health Excellence (NICE) recommends various measures to curb complications associated with hypertensive conditions in pregnancy, such as preeclampsia and eclampsia. Some of these methods include assessment of hypertensive related symptoms in pregnancy, use of antiplatelet agents, use of nutritional supplements, and appropriate diet.
NICE also advises on rest, exercise, and work to women with chronic hypertension or at risk of hypertensive disorders. The ones with existing conditions such as diabetes require extra follow up and attention. Evidence supports conservative management of patients with adverse characteristics of gestational hypertension between 24 and 32 weeks (Rebarber, 2019). Studies suggest that conservative management for hypertensive pregnant women who are more than 24 weeks of gestation is associated with severe maternal complications (Rebarber, 2019). Thus, pregnant hypertensive mothers who are more than 24 weeks of gestation should receive the experimental therapy. There key strategies that are applied in conservative management included bed rest, health assessments and examinations, a fetal assessment like ultrasound or non-stress tests, and the use of steroids before 34 weeks of gestation. In conservative management, there should be enhanced attention to assessment, which encompasses weight, blood pressure variations, fetal movement, proteinuria levels, and general symptoms. Thus, the components of conservative management are wide. The PICOT question in this paper will narrow mainly to the concept of weight management as one of the fundamental approaches to conservative management of pregnancy hypertensive disorders.

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Title Page

Recurrent Preeclampsia
The Effect of Weight Change between Pregnancies

The Role of Obesity in Preeclampsia

Management of Hypertension in the Obese Pregnant Patient

Authors

Mostello, Chang,Allen, Luehr, Shyken, & Leet (2010).

Roberts, Bodnar Patrick & Powers, (2011).

Coroyannakis & Khalil (2019).

Introduction

There is a strong relationship between a maternal pre-pregnancy body mass index (BMI) and the recurrence of preeclampsia. The gestational age at delivery for the first pregnancy complicated by preeclampsia tends to complicate the first pregnancy. Other factors that can increase the risk of preeclampsia include being parous woman, race, and comorbidities, among others. Weight may play a critical role in the emergence of preeclampsia. Thus, the determination to reduce weight remains paramount.

The prevalence of obesity is increasing at alarming rates. There is strong evidence indicates that a 3-fold risk increased in preeclampsia.

Diverse approache...