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SASH Study – Sonographic Assessment for Severe Hypertension in Pregnancy

December 28, 2020


The goal of this study is to determine whether or not an ultrasound is an effective method to augment diagnosis of preeclampsia as well as to determine its use in documenting maternal changes during pregnancy. The hope is to be able to provide better care and decision making during hypertension emergencies.


Study Information

This study is conducted with 120 participants. It is open to pregnant women over the age of 18. Participants will be divided into two groups, those who are symptomatic and those who are asymptomatic. Symptomatic women qualify as having either sustained systolic blood pressure at greater than 160 mmHg or sustained diastolic blood pressure at greater than 110 mmHg. This group will have their vascular measurements assessed via sonogram. The second group is made of pregnant women currently experiencing no symptoms, but are regularly undergoing ultrasound evaluations and have agreed to be part of a study. They will also have their vascular measurements assessed via sonogram over the course of the study. 


Inclusion Criteria: 

  • Any women determined to be at risk for a hypertensive emergency, based on current chronic hypertension.


Exclusion Criteria

  • Less than 18 years of age
  • Not pregnant
  • Not able to provide informed consent
  • Does not speak English and does not have the ability to get a hospital interpreter
  • Has a known atrial-ventricular heart block
  • Has a history of heart failure
  • Has moderate to severe bronchial asthma
  • Is allergic to the medications used during patient care 
  • Lack of intravenous IV access
  • Currently uses medications to treat hypertension
  • Has congenital heart disease



Ohio, US at the Tri-Health Good Samaritan and Bethesda North Hospitals



Tri-Health Inc. 

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