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Book review

Hypertension in pregnancy

Professor Darko Plećaš

ABSTRACT


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Editors: Svetlana Vrzić Petronijević, Miloš Petronijević
Publisher: CIBID, Faculty of Medicine, University of Belgrade, Belgrade, 2020 ISNB 978-86-7117-608-8

The terms: hypertension in pregnancy, EPH-gestosis, pregnancy toxicosis, pregnancy induced hypertension – PIH, and all the terminology within the contemporary classification presented in this book, describe an age-old problem which has been plaguing not only obstetricians, but also anesthesiologists and neonatologists – an entire team which is in this day and age involved in a multidisciplinary approach to the health of the pregnant woman, the fetus, and the newborn. A leading cause of maternal mortality, this state, known since ancient Egypt, Greece and Rome, is today etiologically quite well understood, but reliable tests are yet to be found that would bring prediction, and thereby treatment, to a higher level.

The goal of this book was to comprehensively, yet unpretentiously, present in one place all that is known about hypertension in pregnancy today; to outline the guidelines of international guidebooks on the diagnostics, treatment and further monitoring of pregnant women, new mothers and their newborns in view of potential complications of the illness. The understanding of the etiology of the disorder is crucial for adequate therapy, which, especially in serious cases, unfortunately may only be symptomatic. The contemporary approach to therapy makes it possible that, even in difficult cases, the delivery, which used to be the only resolution to the problem, may be postponed for a time, for the purpose of achieving the maturity of the fetus.

The age-old dilemma: when and how to deliver a baby to a pregnant woman suffering from hypertension, has been presented as a struggle between expectative and aggressive action, with advantages and disadvantages to both approaches. That sometimes the doctors are dealing with a patient whose life is in danger can best be understood from the chapter on the anesthetic management of this disorder.

Finally, it is important not to forget that treatment does not end with the delivery, since these patients are susceptible to numerous cardiovascular problems during the rest of their lives, which they must be made aware of before they are discharged from hospital.

OVERVIEW OF THE BOOK BY CHAPTERS

Hypertension in Pregnancy is a textbook which broadly covers the scope of work of gynecologists-obstetricians, perinatologists, but also of doctors of other specialties, such as internal medicine doctors, anesthesiologists, pediatricians-neonatologists, and doctors of all other specialties which, in some segment, deal with the diagnostics, treatment and monitoring of pregnant women with hypertensive syndrome. The book is comprehensive, both in the domain of the scientific data pertaining to fundamental medical disciplines, and in the domain of data pertaining to clinical practice. The chapters in the book are organized in logical order, starting with the first chapter, which presents the latest classification of hypertension in pregnancy, and then moving on to the pathophysiology, contemporary approach to therapy, and the treatment of the newborn baby coming from a pregnancy complicated by the mother’s hypertension. The equally important issue of further follow-up of new mothers whose pregnancy was complicated by hypertension is also presented here, which is done because of possible cardiovascular complications, later in life.

Chapter 1. CONTEMPORARY APPROACH TO THE CLASSIFICATION AND DIAGNOSTICS OF HYPERTENSION IN PREGNANCY. The chapter presents the latest classification of hypertension in pregnancy, which is substantiated by up-to-date references from the most relevant guidebooks of international associations.

Chapter 2. PATHOPHYSIOLOGY OF PREECLAMPSIA. The chapter presents current views on the pathophysiology of preeclampsia through insights into numerous studies performed both on animal and on human in vivo and ex vivo models, as well as through research at the molecular level.

Chapter 3. RISK FACTORS AND PREECLAMPSIA PREDICTORS. The chapter systematically describes the risk factors and the predictive models of preeclampsia occurrence.

Chapter 4. HYPERTENSION IN PREGNANCY AND CONGENITAL HEART DEFECTS. This chapter shows the link between hypertensive disorder in pregnancy and the development of congenital heart defects in fetuses.

Chapter 5. HELLP SYNDROME. The chapter describes the etiopathogenesis, classification, diagnostics and treatment of one of the most serious forms of hypertensive syndrome in pregnancy.

Chapter 6. PLANNING THE TIME AND METHOD OF DELIVERY IN WOMEN WITH HYPERTENSIVE SYNDROME. The chapter depicts two approaches to the planning of the end of pregnancy in women with hypertensive syndrome. The risks of iatrogenic prematurity as compared to potential complications of continuing the pregnancy when the mother and the fetus are in danger.

Chapter 7. THERAPY OF HYPERTENSION IN PREGNANCY. The chapter presents the latest therapy options for hypertensive disorder in pregnancy, in keeping with the recommendations in current international guidebooks.

Chapter 8. HYPERTENSIVE SYNDROME IN PREGNANCY – METHOD OF PREGNANCY COMPLETION AND INTRAPARTUM MONITORING. The chapter describes intrapartum monitoring of pregnant women with hypertension.

Chapter 9. INTENSIVE TREATMENT OF FEMALE PATIENTS WITH COMPLICATIONS OF HYPERTENSIVE SYNDROME IN PREGNANCY. The chapter gives a detailed description of the role of the anesthesiologist in the treatment of pregnant women and new mothers with hypertensive syndrome.

Chapter 10. POSTPARTUM MONITORING AND TREATMENT OF NEW MOTHERS WHOSE PREGNANCY WAS COMPLICATED BY HYPERTENSIVE SYNDROME.

Chapter 11. FETAL PROGRAMMING THROUGH PREGNANCY COMPLICATED BY HYPERTENSION. The chapter deals with the currently very topical issue of fetal programming which, in mothers with hypertensive syndrome, has unique characteristics.

Chapter 12. THE NEWBORN BABY COMING FROM A PREGNANCY COMPLICATED BY THE MOTHER’S HYPERTENSION The chapter gives a detailed description of the procedure followed in newborns of mothers whose pregnancy was complicated by hypertensive syndrome.

The book Hypertension in Pregnancy is a valuable contribution to medical literature. It is a comprehensive effort made by the editors and authors to present this important and current issue to the readers – to doctors on postgraduate studies, but also to doctors in specialist training, specialists, as well as doctors undergoing subspecialist training. The book meets the requirements of postgraduate studies and also the requirements of two-semester university courses of gynecology and obstetrics, neonatology, anesthesiology and cardiology. It is up to date as to the topic, references and presentation and is based on the latest recommendations and guidebooks of good clinical practice and meets the requirements of textbook writing.

Through its 12 chapters, the book systematically leads the reader from current fundamental scientific medical knowledge and contemporary therapeutic approaches to the very important issue in pregnancies complicated by hypertension – the method and time of delivery. Written in a clear style and understandable language, the book covers the topic completely and comprehensively. Hypertension in Pregnancy is the official textbook for postgraduate studies at the Faculty of Medicine of the University of Belgrade.

Informations

Volume 1 No 2

December 2020

Pages 187-191
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  • Cite this article:
    Plećaš D. Book Review: Svetlana Vrzić-Petronijević, Miloš Petronijević (eds.): Hypertension in pregnancy, CIBID, University of Belgrade - Faculty of Medicine, Belgrade, 2020. Serbian Journal of the Medical Chamber. 2020;1(2):187-91.

  • 1. Gojnić Dugalić Miroslava – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

    2. Ilić Aleksandra – area of scientific and professional expertise: cardiology; Assistant Professor, Faculty of Medicine of the University of Novi Sad; Institute for Cardiovascular Diseases of Vojvodina in Sremska Kamenica

    3. Ilić Đorđe – area of scientific and professional expertise: gynecology and obstetrics; Assistant Professor, Faculty of Medicine of the University of Novi Sad; Clinic for Gynecology and Obstetrics of the Clinical Center of Vojvodina in Novi Sad

    4. Ilić Mostić Tatjana - area of scientific and professional expertise: anesthesiology and reanimatology; Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

    5. Kadija Saša - area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

    6. Miković Željko – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics Narodni front in Belgrade

    7. Mostić Stanišić Danka – area of scientific and professional expertise: gynecology and obstetrics; gynecology and obstetrics specialist, Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

    8. Nikolić Tatjana - area of scientific and professional expertise: neonatology; Chief Physician, Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

    9. Petronijević Miloš – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

    10. Rakić Snežana – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics Narodni front in Belgrade

    11. Stefanović Aleksandar - area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

    12. Vejnović Tihomir – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Novi Sad; Clinic for Gynecology and Obstetrics of the Clinical Center of Vojvodina in Novi Sad

    13. Vrzić Petronijević Svetlana - area of scientific and professional expertise: gynecology and obstetrics; Associate Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade


REFERENCES

1. Gojnić Dugalić Miroslava – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

2. Ilić Aleksandra – area of scientific and professional expertise: cardiology; Assistant Professor, Faculty of Medicine of the University of Novi Sad; Institute for Cardiovascular Diseases of Vojvodina in Sremska Kamenica

3. Ilić Đorđe – area of scientific and professional expertise: gynecology and obstetrics; Assistant Professor, Faculty of Medicine of the University of Novi Sad; Clinic for Gynecology and Obstetrics of the Clinical Center of Vojvodina in Novi Sad

4. Ilić Mostić Tatjana - area of scientific and professional expertise: anesthesiology and reanimatology; Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

5. Kadija Saša - area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

6. Miković Željko – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics Narodni front in Belgrade

7. Mostić Stanišić Danka – area of scientific and professional expertise: gynecology and obstetrics; gynecology and obstetrics specialist, Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

8. Nikolić Tatjana - area of scientific and professional expertise: neonatology; Chief Physician, Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

9. Petronijević Miloš – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

10. Rakić Snežana – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics Narodni front in Belgrade

11. Stefanović Aleksandar - area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

12. Vejnović Tihomir – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Novi Sad; Clinic for Gynecology and Obstetrics of the Clinical Center of Vojvodina in Novi Sad

13. Vrzić Petronijević Svetlana - area of scientific and professional expertise: gynecology and obstetrics; Associate Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

1. Gojnić Dugalić Miroslava – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

2. Ilić Aleksandra – area of scientific and professional expertise: cardiology; Assistant Professor, Faculty of Medicine of the University of Novi Sad; Institute for Cardiovascular Diseases of Vojvodina in Sremska Kamenica

3. Ilić Đorđe – area of scientific and professional expertise: gynecology and obstetrics; Assistant Professor, Faculty of Medicine of the University of Novi Sad; Clinic for Gynecology and Obstetrics of the Clinical Center of Vojvodina in Novi Sad

4. Ilić Mostić Tatjana - area of scientific and professional expertise: anesthesiology and reanimatology; Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

5. Kadija Saša - area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

6. Miković Željko – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics Narodni front in Belgrade

7. Mostić Stanišić Danka – area of scientific and professional expertise: gynecology and obstetrics; gynecology and obstetrics specialist, Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

8. Nikolić Tatjana - area of scientific and professional expertise: neonatology; Chief Physician, Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

9. Petronijević Miloš – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

10. Rakić Snežana – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics Narodni front in Belgrade

11. Stefanović Aleksandar - area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade

12. Vejnović Tihomir – area of scientific and professional expertise: gynecology and obstetrics; Full Professor, Faculty of Medicine of the University of Novi Sad; Clinic for Gynecology and Obstetrics of the Clinical Center of Vojvodina in Novi Sad

13. Vrzić Petronijević Svetlana - area of scientific and professional expertise: gynecology and obstetrics; Associate Professor, Faculty of Medicine of the University of Belgrade; Clinic for Gynecology and Obstetrics of the Clinical Center of Serbia in Belgrade


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