Re: Gestational Hypertension
From: Jefferson Delfino (dr.jefferson@uol.com.br)
Sun Sep 28 09:51:08 2008
Iniciate the medicine now! Why to assume such risk? Wiil wait till complication?
Metil Dopa 750 mg/day (8/8h)
Jefferson
---------- Início da mensagem original -----------
De: ob-gyn-l@obgyn.net
Para: "Multiple recipients of list OB-GYN-L" ob-gyn-l@mail.obgyn.net
Cc:
Data: Sun, 28 Sep 2008 09:17:11 -0500
Assunto: Re: Gestational Hypertension
> Don't treat. The only indication for treatment of BP in pregnancy is to
> prevent stroke. That requires a DIASTOLIC of 110 or greater.
>
> Dan
>
> On Sat, Sep 27, 2008 at 12:57 PM, Andrew Folley <agfolley@hotmail.com>wrote:
>
> > Dan and Joe
> > Lets say the BP is 145/100 and persists after 24 hrs observation in
> > hospital. She is 28 weeks and no proteinuria. I make the diagnosis of
> > gestational hypertension without proteinuria. I am going to advocate home
> > off work modified bedrest check labs 2x week and bp daily and urine dipstick
> > daily and nst 2x in office. I probably would start her on Labetalol but I am
> > going to argue to the residents that we do not need to treat her BP at this
> > point with antihypertensives. I am only arguing to get to the truth about
> > whether it really does any good or not in terms of preventing progression to
> > preeclampsia HELLP etc???? andy
> >
> > > Date: Fri, 26 Sep 2008 15:46:30 -0500
> > > From: forcep@intercom.net
> > > To: ob-gyn-l@mail.obgyn.net
> > > Subject: Re: Gestational Hypertension
> > >
> > > R. Daniel Braun wrote:
> > > > Joe,
> > > > The bulletin doesn't say for 6 hours, it just says "sustained". It
> > > > seems to leave that up to our discretion as to what "sustained" means.
> > > > Dan
> > > > You are correct. Thats was in article by Sieben(sp) in Green J. Joe C
> > > >
> > > > On Fri, Sep 26, 2008 at 11:05 AM, Joe <forcep@intercom.net
> > > > <mailto:forcep@intercom.net>> wrote:
> > > >
> > > > Sustained for 6 hours. Joe C
> > > >
> > > > The pressure described here doesn't really meet the criteria
> > > > for hypertension in the Technical bulletin (or whatever they
> > > > call those things these days). The increase in BP criteria
> > > > were removed in around 2000. It is now sustained 140/90. The
> > > > "or >30/15 increase" was removed. The reason given was that
> > > > over 50% of normal primigravids would meet that criteria.
> > > >
> > > > Dan
> > > >
> > > > R. Daniel Braun, MD FACOG(L) ABMP CMTh
> > > > Professor Emeritus
> > > > Dept. of Obstetrics and Gynecology
> > > > Indiana U. School of Medicine
> > > >
> > > > R. Daniel Braun
> > > >
> > > > "Science without Religion is LAME; Religion without Science is
> > > > BLIND"
> > > > Einstein 1941
> > >
> >
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>
> --
> R. Daniel Braun, MD FACOG(L) ABMP CMTh
> Professor Emeritus
> Dept. of Obstetrics and Gynecology
> Indiana U. School of Medicine
>
> R. Daniel Braun
>
> "Science without Religion is LAME; Religion without Science is BLIND"
> Einstein 1941
>
