USE OF DOPPLER INDICES FOR MONITORING THE EFFECT OF DIFFERENT ANTIHYPERTENSIVE DRUGS ON FETAL WELL- BEING IN PREGNANCY INDUCED HYPERTENSION

Abstract

Hypertensive disorders in pregnancy are common and fonn one of the deadly triad, along with hemorrhage and infection, that result in a large number of maternal deaths.(!)

Pregnancy can induce hypertension in normotensive women or aggravate already existing hypertension. Generalized edema, proteinuria or both may also accompany pregnancy-induced or aggravated hypertension. If hypertension is untreated, convulsions may develop(!)

But how pregnancy incites or aggravates hypertension remains

_unsolved_ ge(>pite decades of_ intensive researches. However many controversies concerning the etiology, pathophysiology, and treatment of hypertension in pregnancy dominate this important area of reproductive medicine.(2)

Classification:-

The literature dealing with high blood pressure in pregnancy IS confusing and controversial. The failure to achieve a universally acceptable classification results from a lack of knowledge of the precise nature and cause of the disorders, the absence of clinical or pathologic features or tests by which they can be clearly separated.(3l

Duvey and Mac Gillivary (1988)(4) have proposed a classification based solely on the physical signs of hypertension and proteinurea. Table .