THERE have been several important developments related to hypertension in pregnancy since this topic was reviewed in the Journal in 1985.1 These include observations that may help to explain, prevent, and treat the dangerous conditions of preeclampsia and eclampsia. In the recent report of the Working Group on High Blood Pressure in Pregnancy, convened by the National High Blood Pressure Education Program of the National Heart, Lung, and Blood Institute,2 obstetricians and internists reached agreement, perhaps for the first time, on a number of controversial issues. In this article, we focus on conflicts about the management of preeclampsia. Because the.
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