Identification and management of rare causes of chronic hypertension in pregnancy in a tertiary referral centre of North India

摘要

Hypertension in pregnancy is a major cause of maternal and perinatal morbidity and mortality. Chronic hypertension of various etiology may be brought to notice during pregnancy as it's the time when a woman may come in contact with a doctor first time in her life. Unusual causes of hypertension in pregnancy are often unrecognised and mis-diagnosed as preeclampsia thus leading to improper treatment. The likelihood of adverse maternal and perinatal complications depends on the etiology and degree of hypertension and thus accurate diagnosis is important. Here, we report the causes of chronic hypertension detected first time during pregnancy and analysed the maternal and perinatal outcome in them. This highlights the need of looking into the causes of chronic hypertension in pregnancy and individualised management of pregnant women.