- 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