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- 1.1 Reducing the risk of hypertensive disorders in pregnancy. Symptoms of pre-eclampsia. 1.1.1 Advise pregnant women to see a healthcare professional immediately if they experience symptoms of pre-eclampsia.
- 1.2 Assessment of proteinuria in hypertensive disorders of pregnancy. 1.2.1 Interpret proteinuria measurements for pregnant women in the context of a full clinical review of symptoms, signs and other investigations for pre-eclampsia.
- 1.3 Management of chronic hypertension in pregnancy. Pre-pregnancy advice. 1.3.1 Offer women with chronic hypertension referral to a specialist in hypertensive disorders of pregnancy to discuss the risks and benefits of treatment.
- 1.4 Management of gestational hypertension. Assessment and treatment of gestational hypertension. 1.4.1 In women with gestational hypertension, a full assessment should be carried out in a secondary care setting by a healthcare professional who is trained in the management of hypertensive disorders of pregnancy.
Several different hypertensive disorders can complicate pregnancy. The National Institute for Health and Clinical Excellence (NICE) uses the following working definitions. Hypertension: diastolic blood pressure of 90–109 mmHg and/or systolic blood pressure of 140–159 mmHg.
Sep 9, 2019 · Target blood pressure during the antenatal period should be 135/85 mm Hg for women with hypertension during pregnancy. Hypertension during pregnancy is associated with an increased risk of hypertension and cardiovascular disorders in later life. Women should be offered appropriate lifestyle and dietary advice to minimise this risk.
- Katie Webster, Sarah Fishburn, Mike Maresh, Sarah C Findlay, Lucy C Chappell
- 2019
Management. Hypertension in pregnancy: Management. Last revised in May 2022. Scenario: Pre-eclampsia: Covers the identification and management of women who are at high risk of pre-eclampsia. Scenario: Pre-existing hypertension, or hypertension before 20 weeks: Covers the assessment and management of women with pre-existing chronic hypertension.
Women and pregnant people diagnosed with gestational hypertension should be managed according to appendix 1. Offer fetal heart auscultation at every antenatal appointment.
Hypertension in pregnancy. Management. Scenario: Pre-existing hypertension, or hypertension before 20 weeks. Hypertension in pregnancy: Scenario: Chronic hypertension, or new hypertension before 20 weeks' gestation. Last revised in May 2022. From age 13 years onwards (Female). How should I manage a woman with chronic hypertension?
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Overview. This guideline covers diagnosing and managing hypertension (high blood pressure), including pre-eclampsia, during pregnancy, labour and birth. It also includes advice for women with hypertension who wish to conceive and women who have had a pregnancy complicated by hypertension.
