Gestational hypertension as a subclinical preeclampsia

[caryn]

"...the levels of sFlt-1/PlGF ratio and sEng in women with GH were lower than in those with h-PE and with si-PE; however, the majority of women with GH showed abnormal increases of both sFlt-1/PlGF ratio and sEng, suggesting that GH may be a subclinical PE in view of serum levels of angiogenesis-related factors..."

http://www.ncbi.nlm.nih.gov/pubmed/21048778

So this has been an ongoing debate! Is there such a thing as "just" a little hypertension at the end of pregnancy? Is it even maybe adaptive -- does it lead to overall better outcomes, and how do you decide which outcomes are better, anyway?

This study does at least confirm that women with raised blood pressure at the end of pregnancy do often have higher levels of the soluble factors linked to preeclampsia symptoms than women who do not see those increases in their blood pressure. The same biochemical stuff is going on, just more mildly. That might help explain why the HYPITAT trial showed a benefit to women with gestational hypertension with induction at 37 weeks, though.

[yommytec]

Does HYPITAT really works or just want of those that are been promoted to scam people?

[blythe]

Yommytec, I'm not sure what you are asking. HYPITAT stands for "Hypertension and Pre-eclapmsia Intervention Trial At Term".

Here is a link to the initial results
http://www.studies-obsgyn.nl/home/page.asp?page_id=357

and here is a link to the study published in the Lancet
http://www.thelancet.com/journals/lance ... 40-6736(09)60736-4/abstract

The study authors found that for hypertensive issues at term, inducing at 37 weeks - with either hypertension alone or pre-eclampsia - resulted in fewer maternal complications, fewer c-sections, and no difference in outcomes for babies (verses letting pregnancy progress and inducing when the disease worsened).

As always, ask your doctor how this study applies to your individual case, there may be reasons your treatment is different.