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Stop antihypertensive treatment
- Stop antihypertensive treatment in women taking ACE inhibitors or ARBs, thiazides or thiazide like diuretics if they become pregnant (preferably within 2 working days of notification of pregnancy) and offer alternatives. The BNF states this is due to increased risk of congenital abnormalities.
wisdom.nhs.wales/health-board-guidelines/cwm-taf-maternity-file/hypertensive-disorders-in-pregnancy-management-of-ctm-guideline-2020-pdf/Guidelines for Management of Hypertensive Disorders ... - WISDOM
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Jun 25, 2019 · For women with chronic hypertension whose blood pressure is lower than 160/110 mmHg after 37 weeks, with or without antihypertensive treatment, timing of birth and maternal and fetal indications for birth should be agreed between the woman and the senior obstetrician.
- Hypertension in Pregnancy
Be aware that pregnant women previously diagnosed with...
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Recommendations for research. As part of the 2019 update,...
- Hypertension in Pregnancy
Be aware that pregnant women previously diagnosed with chronic hypertension may exhibit blood pressure within the normal range due to the physiological drop in blood pressure that occurs in early pregnancy. Continued antihypertensive treatment is not necessary if: Sustained systolic blood pressure is less than 110 mmHg, or
Jun 25, 2019 · Recommendations for research. As part of the 2019 update, the guideline committee made 6 research recommendations on the management of pregnancy with chronic hypertension, pre-eclampsia, fetal monitoring, the use of antihypertensives in breastfeeding and advice and follow-up.
Jun 25, 2019 · Based on these recommendations, a clear blood pressure target should now be set for women with chronic hypertension in pregnancy who need antihypertensive treatment to improve consistency of treatment targets.
Chronic hypertension. Hypertension that is present at, or prior to the booking visit, or before 20 weeks' gestation — blood pressure tends to fall during the first and second trimesters and a woman with high blood pressure before week 20 of pregnancy can therefore be assumed to have pre-existing hypertension. Gestational hypertension
Offer antihypertensive treatment to pregnant women who have chronic hypertension and who are not already on treatment if they have: sustained systolic blood pressure of 140 mmHg or higher or sustained diastolic blood pressure of 90 mmHg or higher.
Sep 9, 2019 · Box 1. Definitions for hypertensive disorders of pregnancy. Chronic hypertension— Hypertension that is present at the booking visit or before 20 weeks’ gestation, or if the woman is already taking antihypertensive medication when starting maternity care. It can be primary or secondary in aetiology.
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