Peculiarity of hypertension and pregnancy

This study concluded that high blood pressure and pregnancy is a common condition and remains a major cause of maternofetal mortality and morbidity. These complications can be reduced by a better physiopathological understanding and a better knowledge of the fetal and maternal prognostic factors. This condition mobilizes obstetricians and researchers looking for effective treatment. The only truly effective treatment is the termination of pregnancy, all other therapies are intended only to prolong the pregnancy to a term acceptable to the fetus. The prevention of placental insufficiency by the early management of risky parturients (rigorous clinical, biological, ultrasound and velocimetric monitoring, treatment with platelet antiaggregants at low doses) and the rapid and adapted treatment of hypertension and pregnancy reported, notably thanks to the progress of neonatal resuscitation, contribute to the improvement of the results already recorded. Finally, any doctor should be alert to the discovery of a blood pressure higher than normal or any abnormality (even minimal) occurring in a pregnant woman.