What is the potential outcome of untreated severe chronic hypertension during pregnancy?

Severe chronic hypertension during pregnancy can lead to a variety of serious complications, one of which is preeclampsia. This condition is characterized by elevated blood pressure and often involves damage to other organ systems, most notably the liver and kidneys. Preeclampsia typically develops after the 20th week of pregnancy and can result in significant health risks for both the mother and the fetus, including cardiovascular issues and potential progression to eclampsia, which can be life-threatening.

Additionally, preeclampsia can lead to placental insufficiency, which is a condition where the placenta does not deliver adequate nutrients and oxygen to the developing fetus. This can contribute to other complications, including fetal growth restriction, but the direct link of untreated severe chronic hypertension predominantly highlights the risk of developing preeclampsia as a key outcome. By understanding this relationship, it underscores the importance of managing blood pressure in pregnant individuals to minimize risks and promote healthier outcomes.