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Dr. Collier is the Director of the Mississippi Perinatal Quality Collaborative (MSPQC) and Maternal Mortality Review Committee (MMRC) at the Mississippi State Department of Health and Assistant Professor Obstetrics & Gynecology at The University of Missis
Dr. Martin is Chair of the ACOG Pregnancy and Heart Disease Task Force and Professor Emeritus of Obstetrics, Gynecology & Maternal-Fetal Medicine at The University of Mississippi Medical Center, Jackson.
Emergent treatment of severe acute-onset persistent hypertension constitutes an important component of high-quality obstetric care.
Emergent treatment of severe acute-onset persistent hypertension (systolic BP > 160 mmHg or diastolic BP > 110 mmHg sustained > 15 minutes) constitutes an important component of high-quality obstetric care. Even in the absence of proteinuria, sudden development of sustained severe hypertension causes significant risk of hemorrhagic stroke and death. An estimated 25% to 45% of maternal strokes occur among patients with preeclampsia, eclampsia or HELLP syndrome.1 Severe systolic blood pressure is a consistent feature present before the onset of stroke in over 90% of women with hypertensive disorders.2
Related: Hypertensive disorders of pregnancy