HIPERTENSIN

POSPARTO
NSTOR JULIN ZARATE HERRN

GENERALIDADES

Trastornos

hipertensivos del embarazo

10% de las gestantes.

Literatura

enfocada en aquellos pre y

periparto.
Prevalencia

desde 0,3% hasta 27,5%.

From the Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Cincinnati, Cincinnati, Ohio. OBSTETRICS
Etiology and management of postpartum hypertension-preeclampsia Baha M. Sibai, MD. American Journal of Obstetrics & Gynecology JUNE 2012.
Hipertensin posparto, Postpartum hypertension, Jess arnulfo velsquez, M.D.* Revista Colombiana de Obstetricia y Ginecologa Vol. 56
No.2 2005 (141-146)

ETIOLOGIA

La preeclampsia preexistente o de novo luego del parto

es la causa ms comn.

Hipertensin - preeclampsia de novo:

- Sobre carga de volumen.
- Medicamentos.

Hipertensin preeclampsia preexistente:

- Tiempo de resolucin de la hipertensin y

proteinuria.
- Severidad del cuadro.
From the Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Cincinnati, Cincinnati, Ohio. OBSTETRICS
Etiology and management of postpartum hypertension-preeclampsia Baha M. Sibai, MD. American Journal of Obstetrics & Gynecology JUNE 2012.

ETIOLOGIA

Persistencia/exacerbacin

de hipertensin:

- Hipertensin crnica.
- Comorbilidades.
- Sin diagnstico previo.
- Incremento de cifras tensionales 3 6 das posparto

Podymow T, aujgust P. Postpartum course Of gestational hypertension and preeclampsia. Hypertens pregnancy 2010;29:294-300.
From the Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Cincinnati, Cincinnati, Ohio. OBSTETRICS
Etiology and management of postpartum hypertension-preeclampsia Baha M. Sibai, MD. American Journal of Obstetrics & Gynecology JUNE 2012.

ETIOLOGIA

Sibai. Postpartum hypertension-preeclampsia. Am J Obstet Gynecol 2012.

From the Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Cincinnati, Cincinnati, Ohio. O
Etiology and management of postpartum hypertension-preeclampsia Baha M. Sibai, MD. American Journal of Obstetrics & Gynecolog

EVALUACION Y MANEJO

Complicaciones

Etiologa Severidad Manejo

Evaluacin gradual y enfoque multidisciplinario.

Factores de riesgo.

Tiempo de instauracin.

Signos y sntomas.

Laboratorios.

Respuesta al tratamiento inicial.

From the Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Cincinnati, Cincinnati, Ohio. O
Etiology and management of postpartum hypertension-preeclampsia Baha M. Sibai, MD. American Journal of Obstetrics & Gynecolog

EVALUACION Y MANEJO

Principal causa de hipertensin en las primeras 48

horas pos-parto:
- Preeclampsia.
- Hipertensin arterial crnica.

- Preexistente, desarrollada antes del parto o de

novo.

Evaluar medicamentos administrados, signos y

sntomas.

From the Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Cincinnati, Cincinnati, Ohio. O
Etiology and management of postpartum hypertension-preeclampsia Baha M. Sibai, MD. American Journal of Obstetrics & Gynecolog

EVALUACION Y MANEJO

From the Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Cincinnati, Cincinnati, Ohio. O
Etiology and management of postpartum hypertension-preeclampsia Baha M. Sibai, MD. American Journal of Obstetrics & Gynecolog

chandiramani, M., Shennan, A., & Waugh, J. (2007). Modern Management of postpartum hypertension . Trends in Urology gynaecology and sexual Health,
39.

chandiramani, M., Shennan, A., & Waugh, J. (2007). Modern Management of postpartum hypertension . Trends in Urology gynaecology and sexual Health,
40.

BIBLIOGRAFA

1.

From the department of obstetrics and gynecology, division of

maternal-fetal medicine, university of cincinnati, cincinnati, ohio.
OBSTETRICS etiology and management of postpartum hypertensionpreeclampsia baha M. Sibai, MD. American journal of obstetrics &
gynecology JUNE 2012.

2.

Hipertensin posparto, postpartum hypertension, jess arnulfo

velsquez, m.D.* Revista colombiana de obstetricia y ginecologa vol.
56 no.2 2005 (141-146).

3.

J neurol neurosurg psychiatry 2000 69: 824-827 r veltkamp, a

kupsch, j polasek, et al. Late onset postpartum eclampsia without
pre-eclamptic prodromi: clinical and neuroradiological presentation in
two patients.

4.

chandiramani, M., Shennan, A., & Waugh, J. (2007). Modern

Management of postpartum hypertension . Trends in Urology
gynaecology and sexual Health, 37-42.