Pharmakotherapieder Hypertonie in der Schwangerschaft

• Verfasst von: Feuring, Martin [VerfasserIn]
• Verfasst von: Melchert, Frank [VerfasserIn]
• Verfasst von: Wehling, Martin [VerfasserIn]
• Titel: Pharmakotherapieder Hypertonie in der Schwangerschaft
• Paralleltitel: Pharmacotherapy for hypertoniain pregnancy
• Verf.angabe: M. Feuring, F. Melchert, M. Wehling
• E-Jahr: 1999
• Jahr: 01 June 1999
• Umfang: 7 S.
• Fussnoten: Gesehen am 17.08.2022
• Titel Quelle: Enthalten in: Der Gynäkologe
• Ort Quelle: Berlin : Springer, 1996
• Jahr Quelle: 1999
• Band/Heft Quelle: 32(1999), 6, Seite 443-449
• ISSN Quelle: 1433-0393
• DOI: doi:10.1007/PL00003252
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Antihypertensive Therapie
• Sach-SW: Key words Pregnancy • Hypertonia • Antihypertension therapy
• Sach-SW: Schlüsselwörter Schwangerschaft • Hypertonie •
• K10plus-PPN: 1814580646

Abstract

The distinction between chronic hypertension, gestational hypertension, and preeclampsia is essential for the choice of the adequate pharmacotherapy. In chronic and gestional hypertension there is a positive prognosis for mother and child. Mostly, there is no need for pharmacotherapy in gestational hypertension and in chronic hypertension pharmacotherapy is only necessary in serious cases. Particularly in chronic hypertension the application of antihypertension drugs allows the woman to carry the child to full term. In contrast, preeclampsia represents potential danger for mother and fetus. In this case pharmacotherapy rarely shows satisfactory results. Only frequent clinical control and a premature delivery are considered adequate measures. Methyldopa is a well known antihypertensive drug for long-term therapy. Concerning adverse events in the mother modern antihypertensive drugs have disadvantages in relation to but there are advantages in terms of protection for the fetus. Of methyldopa ineffective is or cannot be tolerated of the β-blocker metoprolol can be alternatively applied. In case of emergency dihydralazine or - as as second choice - clonidine is appropiate.