Guide Management of Hypertension During Pregnancy

Questions are coming up about managing chronic hypertension in pregnancy...due to increasing maternal age, obesity, etc.

We know to treat all pregnant patients with severe hypertension... 160/110 mm Hg or above. But treatment of nonsevere chronic hypertension, such as 140/90 or more, hasn’t been clear-cut...due to limited evidence.

Now data suggest that aiming for a BP under 140/90 for nonsevere chronic hypertension in pregnancy improves outcomes (preeclampsia, etc)...without increasing risk of low-birth-weight babies.

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