Summary
Definition
History and exam
Key diagnostic factors
- presence of risk factors
- previously normotensive
- BP ≥140/90 mmHg
Other diagnostic factors
- >20 weeks' gestation
- absence of symptoms that suggest pre-eclampsia
Risk factors
- nulliparous
- maternal age >35 years
- black or Hispanic ethnicity
- obesity
- mother small for gestational age
- type 1 diabetes mellitus
- migraine
Diagnostic investigations
1st investigations to order
- urinalysis
- FBC
- LFTs
- electrolytes, urea, creatinine
- placental growth factor
Investigations to consider
- uric acid
- 24-hour BP monitoring
- fetal ultrasound
- umbilical artery Doppler velocimetry
- proteinuria (spot testing, 24-hour urine collection)
Treatment algorithm
before delivery
after delivery
Contributors
Authors
Aparna Sundaram, DO, MBA, MPH
Board-certified in Preventive Medicine
Board Certified in Lifestyle Medicine
Preventive Medicine Consultants, PLLC
Glendale
AZ
Declarações
AS declares that she has no competing interests.
Revisores
Caroline Apovian, MD
Associate Professor of Medicine
Boston University School of Medicine
Boston
MA
Declarações
CA declares that she has no competing interests.
James Walker, MD, FRCP(Glas), FRCP(Edin), FRCOG
Professor of Obstetrics and Gynaecology
St James's University Hospital
Leeds
UK
Declarações
JW declares that he has no competing interests.
Referências
Principais artigos
American College of Obstetricians and Gynecologists. ACOG practice bulletin no. 222: gestational hypertension and preeclampsia. Jun 2020 [internet publication].Texto completo Resumo
Magee LA, Brown MA, Hall DR, et al. The 2021 International Society for the Study of Hypertension in Pregnancy classification, diagnosis & management recommendations for international practice. Pregnancy Hypertens. 2022 Mar;27:148-69. Resumo
National Institute for Health and Care Excellence. Hypertension in pregnancy: diagnosis and management. Apr 2023 [internet publication].Texto completo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Pre-eclampsia
- Eclampsia
- Hypertension, essential
Mais Diagnósticos diferenciaisDiretrizes
- Hypertension in pregnancy guideline
- Hypertension in pregnancy: diagnosis and management
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