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Hypertension

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Background

Hypertension complicates approximately 10% of all pregnancies and is a leading cause of maternal and perinatal morbidity and mortality nationally and internationally. The most important aspect in the approach to these disorders is to be able to recognize when high blood pressure is due to an ominous disease process such as preeclampsia, versus a hypertensive disorder that antedates the pregnancy. Many societies have developed an approach to the diagnosis, classification, and management of hypertension in pregnancy, and this discussion will focus on the Canadian guidelines, published in 2008 and endorsed by the SOGC (1).


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