what is the leading cause of maternal and preinatal morbidity and mortality in Europe and NA?
hypertensive disorders of pregnancy
what defines Chronic HTN?
BP 140/90 mm Hg before pregnancy or at less than 20wks gestation
what type of DRUGS should you not use for HTN in pregnancy and why?
ACE-inhibitors (-pril). associated with oligohydramnios and neonatal renal failure
what defines Pregnancy Induced HTN?
HTN w/o proteinuria at greater than 20wks gestation
_____ is where systolic BP> 140/99 mm Hg occurring after 20wks of gestations in a woman whose BP has previously been normal and has proteinuria
Pre-eclampsia
Treatment for pre-eclampsia?
delivery is the definitive treatment dependent on the gestational age. BP: hydralazine or Labetolol. Magnesium sulfate to prevent seizures
what is the HELLP syndrome?
hemolysis, elevated liver enzymes, low platelet count
what is a good medication for both depression and smoking cessation?
Bupropion