Manejo terapéutico de hipertensión posparto en pacientes con antecedentes de preeclampsia

Abstract

Introduction: Postpartum hypertension is a medical complication that occurs after childbirth and is characterized by a blood pressure of ≥140/90mm/Hg. The prevalence of hypertensive disorders in pregnant women is 10%. According to information provided by the World Health Organization (WHO), these disorders are one of the main causes of maternal mortality, accounting for about 14% of maternal deaths.. This condition can be serious and potentially dangerous for both the mother and the newborn. Objective: Determine the various management strategies, both pharmacological and non-pharmacological, for the treatment of postpartum hypertension in patients with a history of preeclampsia, through the review of scientific literature, with the aim of improving maternal and neonatal morbidity and mortality. Materials and Methods: An exhaustive search of scientific information was carried out using recognized databases and bibliographic search engines, such as PubMed, Google Scholar, and Elsevier. The search was limited to studies and articles published in the last 5 years to ensure the inclusion of updated information. Conclusion: It has been established that the management of hypertension that occurs after childbirth requires a comprehensive approach that encompasses both pharmacological and non-pharmacological strategies. If hypertension continues after twelve weeks postpartum, it can be diagnosed in terms of chronic hypertension, which may have arisen during pregnancy or be a pre-existing condition.