Hypertension during pregnancy

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Hypertension during pregnancy

  1. 1. Hypertension during pregnancy
  2. 2. Hypertension during pregnancy Rooma Sinha Mild Hypertension (144- 149/90-99mm Hg) Moderate Hypertension (150-159/100-109mm Hg) Severe Hypertension (>160mm Hg) No hospitalization or Treatment Required. Treatment Required Hospitalization Required Monitor BP once in a week Monitor BP twice a week (minimum) Monitor BP q.i.d Drug therapy: Labetalol PO to maintain BP below 150/80-100mm Hg Lab tests: Proteinuria/• • • • • • • • • • • • week & Routine antenatal tests. If gestational age is <32 weeks or patient at high risk of pre- eclampsia, monitor BP & proteinuria, twice a week. Lab tests: Proteinuria twice a week. KFTs, Electrolytes CBC Serum bilirubin Serum transaminases Drug therapy: Labetalol PO to maintain BP< 150/80-100 mm Hg Lab tests: At presentation and then weekly Proteinuria KFTs Electrolyte CBC Serum bilirubin Serum transaminase If no subsequent proteinuria, no further blood test needed Timing of birth: No elective birth if <37 weeks. >37 weeks: timing of birth including indications (maternal & fetal) decided after mutual discussion. Effective control of BP: Monitor BP & Proteinuria twice a week. Blood test a week. Antenatal check up: measure BP Algorithm 2: Hypertension during Pregnancy. Sr. Consultant Gynecologist & Laparoscopic Surgeon, Apollo Health City, Jubilee Hills, Hyderabad, India. email: drroomasinha@hotmail.com Received: 11.7.2012; Accepted: 19.7.2012; Available online: 27.7.2012 http://dx.doi.org/10.1016/j.apme.2012.07.016 Apollo Medicine 2013 December Volume 10, Number 4; p. 327 Algorithms
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