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Perinatal And Maternal Complications In Pregnant Due To Hypertension

1173 words - 5 pages

Chapter 1
Introduction
Disorders related to hypertension are one of the most common medical complications during the pregnancy. It is also an important cause of maternal and preinatal morbidity and mortality worldwide (Baha, 1996). The term hypertension in pregnancy describes a broad spectrum of medical conditions, for which the pressure in the blood vessels varies widely.
According to studies conducted by WHO (2004), hypertension causes complications in 5 to 7% pregnancies in the United Kingdom. The risks associated with hypertension are high for pregnant women and they are higher risk for complications such as organ failure, cerebrovascular accident, abruptio placentae and ...view middle of the document...

They are 1. Chronic hypertension2. Preeclampsia-eclampsia 3.Preeclampsia superimposed on chronic hypertension (Magee ,2009) .

Chronic hypertension is a condition in which the blood pressure is exceeding 140/90 mm Hg before the pregnancy or before 20 weeks’ of gestation (Mark, 1998). When hypertension is first identified during a woman's pregnancy and she is at less than 20 weeks' gestation, blood pressure elevations usually represent chronic hypertension (Nice, 2011). One of the most common medical condition encountered during pregnancy is Chronic hypertension. It affects around 2 to 3% of pregnancies in the world (Pesla, 2001).
According to a recently revised guidelines (2008) by Blood Pressure Association (BPA) UK, the hypertension encountered during the pregnancy stage is divided into four categories.
1. Chronic hypertension
2. Preeclampsia-eclampsia
3. Preeclampsia superimposed on chronic hypertension
4. Gestational hypertension

In contrast, elevated blood pressure readings after 20 weeks mandates the consideration and exclusion of preeclampsia. Preeclampsia occurs in up to 5% of all pregnancies, in 10% of first pregnancies, and in 20-25% of women with a history of chronic hypertension (Markus , 2005).
The general problem medical practitioner’s face for hypertension during pregnancy is about the treatment. Researchers are not yet fully satisfied with the effects of clinical procedures and treatments for hypertension on pregnancy (Bhutani,2008)
. The problem is that generally doctors are not fully aware of the effects of treating hypertension during pregnancy.
Aims and Objective of Dissertation
The principal aim of this thesis is to find:
• The factors that help reducing the risk of hypertension in pregnancy
• How the treatment helps in reducing the effects of a pregnancy complicated by hypertension?
• Another aim of the paper is to compare and contrast the existing treatments available for hypertension during pregnancy.
Based on these objectives dissertation knowledge is developed and discussed through selected themes.

Chapter 2
Methodology and Findings
The methodology and findings section comprise the tools and the methods used in researching, analysing to attain the objectives of the research. Here the methodology is framed in such a way to find the factors and based on that finding and collecting research knowledge and information from different sources to do the research analysis. One of the key aspects of this session is to explain the essential factors that are needed to conduct the research process in time. The research philosophy used here is interpretivist with an edge of realism. Research philosophy is the way which the researcher gather knowledge in the context of the research (saunders et.al, 2003). The advantages of interpretivist...

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