Gestational hypertension

Riassunto

  • Usually asymptomatic. To establish the diagnosis, 2 BP measurements should be taken at least 6 hours and no more than 7 days apart.
  • Defined by BP ≥140/90 mmHg on 2 occasions, without the presence of proteinuria.
  • Patient is normotensive prior to pregnancy and during the first half of pregnancy.
  • Patient requires regular monitoring of BP and urinalysis during the pregnancy to exclude pre-eclampsia and gestational diabetes.
  • Mild hypertension is managed with lifestyle modification and antihypertensive therapy.
  • Severe hypertension (BP ≥160/110 mmHg) requires admission for antihypertensive therapy.
  • For women over 37 weeks' gestation, induction should be considered.
ultimo aggiornamento: mag 15, 2013
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