State of the dentoalveolar system in children from mothers with gestational hypertension
DOI:
https://doi.org/10.47494/mesb.2020.1.150Keywords:
Diagnostic and practical criteria, medical complications, calciumAbstract
Development of diagnostic and practical criteria for arterial hypertension and complications in children from mothers with gestational hypertension against the background of the use of calcium channel inhibitors.
In 2018, new European recommendations on cardiovascular diseases during pregnancy and European recommendations on arterial hypertension were published, which have special sections on hypertension in pregnant women. The recommendations draw attention to the fact that hypertensive disorders during pregnancy are the most common medical complications affecting 5-10% of pregnancies worldwide, and remain the main cause of maternal, fetal and neonatal morbidity and mortality. The fetus is at high risk of intrauterine growth retardation (25% of cases in preeclampsia (PE), prematurity (27% of cases in PE), and intrauterine death (4% of cases in PE). Women with a high or moderate risk of developing PE are recommended to take 100-150 mg of acetylsalicylic acid daily between 12 and 36-37 weeks of pregnancy (recommendation class 1, evidence level A). In addition, to prevent PE in women with low calcium intake (<600 mg/day), it is recommended to introduce calcium into the diet (1.5-2 g/day, orally), which should begin after the first visit to the women's consultation. The recommendations specifically draw attention to the fact that vitamins C and E do not reduce the risk of PE.
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