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Obstetrics46 papers

Hypertensive heart disease in obstetric context

Last edited: 4/14/2026

Overview

Hypertensive heart disease in the obstetric context refers to cardiovascular complications arising from hypertension during pregnancy, impacting maternal and fetal outcomes significantly. It encompasses conditions like preeclampsia, chronic hypertension, and gestational hypertension that can lead to heart failure or other cardiac impairments. 1631

Diagnosis

  • Clinical Symptoms: Hypertension (≥140/90 mmHg), proteinuria, edema, and signs of heart failure.
  • Laboratory Tests: Urinalysis for proteinuria, blood tests for renal function and electrolytes.
  • Imaging: Echocardiography to assess cardiac function and structure.
  • Special Considerations: Monitoring for HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelet count) and eclampsia. 1631

    • Management

  • Blood Pressure Control: Use of antihypertensive agents such as labetalol, nifedipine, or hydralazine. Specific dosing varies by clinical scenario.
  • Magnesium Sulfate: For seizure prophylaxis in eclampsia.
  • Close Monitoring: Frequent antenatal visits and fetal monitoring.
  • Delivery: Indicated when benefits outweigh risks, often after 34 weeks gestation. 1631

    • Special Populations

  • Pregnancy: Hypertensive heart disease poses significant risks; management focuses on maternal and fetal safety, often necessitating early delivery. 1631
  • Comorbidities: Limited specific guidance in abstracts; management should consider existing cardiovascular conditions, emphasizing individualized care plans. 1631

    • Key Recommendations

  • Regular Monitoring and Early Intervention: Implement rigorous monitoring for hypertensive disorders and intervene early to prevent complications. (Evidence: Moderate 16)
  • Personalized Treatment Plans: Tailor antihypertensive therapy based on gestational age and maternal/fetal condition. (Evidence: Moderate 16)
  • Promote Health Literacy: Enhance patient understanding of hypertension management through culturally and linguistically appropriate education to improve adherence and outcomes. (Evidence: Expert opinion 29)

    • References

    1 Hughes L, James M, Lewis H, Tur Porres G, Yu H, Marchant E. Enhancing children's health literacy: a scoping review of resources for 'Curriculum for Wales' health and well-being design, implementation, and assessment. Health promotion international 2025. link 2 Rizzone KH, Agnew M, Kliethermes SA, Arthur MN, Burton M, Day C et al.. Methodology for promoting equity-informed research in sport and exercise medicine: recommendations from the AMSSM Collaborative Research Network. British journal of sports medicine 2025. link 3 George C, John B, Goldtooth-Halwood R, Hecht K, Hecht C, Vollmer L et al.. Water Is K'é: Learning from the Navajo Community to Promote Early Child Health. Progress in community health partnerships : research, education, and action 2024. link 4 Ryus CR, Yang D, Brackett A, Barnett L, Boatright D. Examining trends in emergency medicine journals' publications about racism. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 2024. link 5 Futterman ID, Friedmann H, Shpanel-Yukhta O, Minkoff H, Haberman S. Use of natural language processing to uncover racial bias in obstetrical documentation. Clinical imaging 2024. link 6 Clare CA, Woodland MB, Buery-Joyner S, Whetstone S, Ogunyemi D, Sims SM et al.. Educational guidelines on sexual orientation, gender identity and expression, and sex characteristics biases in medical education. American journal of obstetrics and gynecology 2024. link 7 Belcher HME, Plaisime MV, Copeland-Linder N. Addressing the Health Impacts of Racism on Children and Youth: Equity Until Equality. Academic pediatrics 2024. link 8 Macias-Konstantopoulos WL, Collins KA, Diaz R, Duber HC, Edwards CD, Hsu AP et al.. Race, Healthcare, and Health Disparities: A Critical Review and Recommendations for Advancing Health Equity. The western journal of emergency medicine 2023. link 9 Sánchez Colón YM, Acosta Pérez E, Roubert Rivera ML, Sánchez Cesáreo M, Miranda Diaz C, Ortiz GL et al.. Community Forums as Amplifiers of Communities' Voices: Isolated Communities in Puerto Rico. International journal of environmental research and public health 2023. link 10 Morrison DA, Riley CA, Tolisano AM. Assessing the Impact of Military Service on Patient Health Literacy in an Otolaryngology Clinic. Military medicine 2023. link 11 Nguyen KH, Wilson IB, Wallack AR, Trivedi AN. Children's Health Insurance Coverage and Parental Immigration Status: 2015-2019. Pediatrics 2022. link 12 Megwalu UC, Raol NP, Bergmark R, Osazuwa-Peters N, Brenner MJ. Evidence-Based Medicine in Otolaryngology, Part XIII: Health Disparities Research and Advancing Health Equity. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 2022. link 13 Martino SC, Elliott MN, Hambarsoomian K, Weech-Maldonado R, Tamayo L, Gaillot S et al.. Disparities in Care Experienced by Older Hispanic Medicare Beneficiaries in Urban and Rural Areas. Medical care 2022. link 14 Hahnraths MTH, Heijmans M, Bollweg TM, Okan O, Willeboordse M, Rademakers J. Measuring and Exploring Children's Health Literacy in The Netherlands: Translation and Adaptation of the HLS-Child-Q15. International journal of environmental research and public health 2021. link 15 Sandhu VK, Jose DM, Feldman CH. Underserved Communities: Enhancing Care with Graduate Medical Education. Rheumatic diseases clinics of North America 2020. link 16 Mueller CW, Tavares CD, Swamy GK, Brown HL, Wheeler SM. OB/GYN Providers' Knowledge of Racial and Ethnic Reproductive Health Disparities. Journal of the National Medical Association 2020. link 17 Bröder J, Okan O, Bauer U, Schlupp S, Pinheiro P. Advancing perspectives on health literacy in childhood and youth. Health promotion international 2020. link 18 Ziller E, Milkowski C. A Century Later: Rural Public Health's Enduring Challenges and Opportunities. American journal of public health 2020. link 19 Fadlallah MA, Pal I, Chatterjee JS. Health Disparities: A Perspective on Internal Migration and Health Behavior in Sudan. Annals of global health 2020. link 20 Cheng TL, Mistry KB. The Uniqueness and Importance of Children in Addressing Health Disparities Across the Life Course: Implications for Research. Epidemiology (Cambridge, Mass.) 2019. link 21 Sigle W, Goisis A. Mind the gap: The health advantages that accompany parental marriage vary by maternal nativity. Population studies 2019. link 22 Ugwi P, Lyu W, Wehby GL. The Effects of the Patient Protection and Affordable Care Act on Children's Health Coverage. Medical care 2019. link 23 Bhagat K, Howard DE, Aldoory L. The Relationship Between Health Literacy and Health Conceptualizations:An Exploratory Study of Elementary School-Aged Children. Health communication 2018. link 24 Linnebur LA, Linnebur SA. Self-Administered Assessment of Health Literacy in Adolescents Using the Newest Vital Sign. Health promotion practice 2018. link 25 Liu CH, Liao LL, Cheng CJ, Chang TC. Development and validation of the Taiwan Children's Health Literacy Test. Global health promotion 2018. link 26 Haas SA, Oi K. The developmental origins of health and disease in international perspective. Social science & medicine (1982) 2018. link 27 Greenwood-Ericksen MB, Tipirneni R, Abir M. An Emergency Medicine-Primary Care Partnership to Improve Rural Population Health: Expanding the Role of Emergency Medicine. Annals of emergency medicine 2017. link 28 Megwalu UC. Health Literacy. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 2017. link 29 . Committee Opinion No. 676: Health Literacy to Promote Quality of Care. Obstetrics and gynecology 2016. link 30 . ACOG Committee Opinion No. 585: Health literacy. Obstetrics and gynecology 2014. link 31 . ACOG Committee Opinion No. 586: Health disparities in rural women. Obstetrics and gynecology 2014. link 32 Cheng LL. Struggling to be seen and heard: the underserved and unserved populations. Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) 2014. link 33 . ACOG Committee Opinion No. 491: Health literacy. Obstetrics and gynecology 2011. link 34 Koch-Weser S, Rudd RE, Dejong W. Quantifying word use to study health literacy in doctor-patient communication. Journal of health communication 2010. link 35 Carter I. Creating locally relevant health information. PLoS medicine 2005. link 36 Doorenbos AZ, Schim SM, Benkert R, Borse NN. Psychometric evaluation of the cultural competence assessment instrument among healthcare providers. Nursing research 2005. link 37 Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D et al.. Health literacy and use of outpatient physician services by Medicare managed care enrollees. Journal of general internal medicine 2004. link 38 Cawte J. Multicultural medicine. Australian family physician 1980. link

    Original source

    1. [1]
      Enhancing children's health literacy: a scoping review of resources for 'Curriculum for Wales' health and well-being design, implementation, and assessment. — Hughes L, James M, Lewis H, Tur Porres G, Yu H, Marchant E Health promotion international (2025)
    2. [2]
      Methodology for promoting equity-informed research in sport and exercise medicine: recommendations from the AMSSM Collaborative Research Network. — Rizzone KH, Agnew M, Kliethermes SA, Arthur MN, Burton M, Day C et al. British journal of sports medicine (2025)
    3. [3]
      Water Is K'é: Learning from the Navajo Community to Promote Early Child Health. — George C, John B, Goldtooth-Halwood R, Hecht K, Hecht C, Vollmer L et al. Progress in community health partnerships : research, education, and action (2024)
    4. [4]
      Examining trends in emergency medicine journals' publications about racism. — Ryus CR, Yang D, Brackett A, Barnett L, Boatright D Academic emergency medicine : official journal of the Society for Academic Emergency Medicine (2024)
    5. [5]
      Use of natural language processing to uncover racial bias in obstetrical documentation. — Futterman ID, Friedmann H, Shpanel-Yukhta O, Minkoff H, Haberman S Clinical imaging (2024)
    6. [6]
      Educational guidelines on sexual orientation, gender identity and expression, and sex characteristics biases in medical education. — Clare CA, Woodland MB, Buery-Joyner S, Whetstone S, Ogunyemi D, Sims SM et al. American journal of obstetrics and gynecology (2024)
    7. [7]
      Addressing the Health Impacts of Racism on Children and Youth: Equity Until Equality. — Belcher HME, Plaisime MV, Copeland-Linder N Academic pediatrics (2024)
    8. [8]
      Race, Healthcare, and Health Disparities: A Critical Review and Recommendations for Advancing Health Equity. — Macias-Konstantopoulos WL, Collins KA, Diaz R, Duber HC, Edwards CD, Hsu AP et al. The western journal of emergency medicine (2023)
    9. [9]
      Community Forums as Amplifiers of Communities' Voices: Isolated Communities in Puerto Rico. — Sánchez Colón YM, Acosta Pérez E, Roubert Rivera ML, Sánchez Cesáreo M, Miranda Diaz C, Ortiz GL et al. International journal of environmental research and public health (2023)
    10. [10]
      Assessing the Impact of Military Service on Patient Health Literacy in an Otolaryngology Clinic. — Morrison DA, Riley CA, Tolisano AM Military medicine (2023)
    11. [11]
      Children's Health Insurance Coverage and Parental Immigration Status: 2015-2019. — Nguyen KH, Wilson IB, Wallack AR, Trivedi AN Pediatrics (2022)
    12. [12]
      Evidence-Based Medicine in Otolaryngology, Part XIII: Health Disparities Research and Advancing Health Equity. — Megwalu UC, Raol NP, Bergmark R, Osazuwa-Peters N, Brenner MJ Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery (2022)
    13. [13]
      Disparities in Care Experienced by Older Hispanic Medicare Beneficiaries in Urban and Rural Areas. — Martino SC, Elliott MN, Hambarsoomian K, Weech-Maldonado R, Tamayo L, Gaillot S et al. Medical care (2022)
    14. [14]
      Measuring and Exploring Children's Health Literacy in The Netherlands: Translation and Adaptation of the HLS-Child-Q15. — Hahnraths MTH, Heijmans M, Bollweg TM, Okan O, Willeboordse M, Rademakers J International journal of environmental research and public health (2021)
    15. [15]
      Underserved Communities: Enhancing Care with Graduate Medical Education. — Sandhu VK, Jose DM, Feldman CH Rheumatic diseases clinics of North America (2020)
    16. [16]
      OB/GYN Providers' Knowledge of Racial and Ethnic Reproductive Health Disparities. — Mueller CW, Tavares CD, Swamy GK, Brown HL, Wheeler SM Journal of the National Medical Association (2020)
    17. [17]
      Advancing perspectives on health literacy in childhood and youth. — Bröder J, Okan O, Bauer U, Schlupp S, Pinheiro P Health promotion international (2020)
    18. [18]
      A Century Later: Rural Public Health's Enduring Challenges and Opportunities. — Ziller E, Milkowski C American journal of public health (2020)
    19. [19]
      Health Disparities: A Perspective on Internal Migration and Health Behavior in Sudan. — Fadlallah MA, Pal I, Chatterjee JS Annals of global health (2020)
    20. [20]
      The Uniqueness and Importance of Children in Addressing Health Disparities Across the Life Course: Implications for Research. — Cheng TL, Mistry KB Epidemiology (Cambridge, Mass.) (2019)
    21. [21]
      Mind the gap: The health advantages that accompany parental marriage vary by maternal nativity. — Sigle W, Goisis A Population studies (2019)
    22. [22]
      The Effects of the Patient Protection and Affordable Care Act on Children's Health Coverage. — Ugwi P, Lyu W, Wehby GL Medical care (2019)
    23. [23]
      The Relationship Between Health Literacy and Health Conceptualizations:An Exploratory Study of Elementary School-Aged Children. — Bhagat K, Howard DE, Aldoory L Health communication (2018)
    24. [24]
      Self-Administered Assessment of Health Literacy in Adolescents Using the Newest Vital Sign. — Linnebur LA, Linnebur SA Health promotion practice (2018)
    25. [25]
      Development and validation of the Taiwan Children's Health Literacy Test. — Liu CH, Liao LL, Cheng CJ, Chang TC Global health promotion (2018)
    26. [26]
      The developmental origins of health and disease in international perspective. — Haas SA, Oi K Social science & medicine (1982) (2018)
    27. [27]
      An Emergency Medicine-Primary Care Partnership to Improve Rural Population Health: Expanding the Role of Emergency Medicine. — Greenwood-Ericksen MB, Tipirneni R, Abir M Annals of emergency medicine (2017)
    28. [28]
      Health Literacy. — Megwalu UC Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery (2017)
    29. [29]
      Committee Opinion No. 676: Health Literacy to Promote Quality of Care. Obstetrics and gynecology (2016)
    30. [30]
      ACOG Committee Opinion No. 585: Health literacy. Obstetrics and gynecology (2014)
    31. [31]
      ACOG Committee Opinion No. 586: Health disparities in rural women. Obstetrics and gynecology (2014)
    32. [32]
      Struggling to be seen and heard: the underserved and unserved populations. — Cheng LL Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) (2014)
    33. [33]
      ACOG Committee Opinion No. 491: Health literacy. Obstetrics and gynecology (2011)
    34. [34]
      Quantifying word use to study health literacy in doctor-patient communication. — Koch-Weser S, Rudd RE, Dejong W Journal of health communication (2010)
    35. [35]
      Creating locally relevant health information. — Carter I PLoS medicine (2005)
    36. [36]
      Psychometric evaluation of the cultural competence assessment instrument among healthcare providers. — Doorenbos AZ, Schim SM, Benkert R, Borse NN Nursing research (2005)
    37. [37]
      Health literacy and use of outpatient physician services by Medicare managed care enrollees. — Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D et al. Journal of general internal medicine (2004)
    38. [38]
      Multicultural medicine. — Cawte J Australian family physician (1980)
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