cHTN/gHTN/Pre-E

Question 1

cHTN with good control - antenatal testing schedule?

Answer 1

Starting at 32 wk, weekly NST+AFI (assuming normal EFW)

Question 2

cHTN with poor control - antenatal testing schedule?

Answer 2

Starting at 32 wk or earlier, NST 2x/wk (1x/wk w/AFI) + MFM consult

Question 3

Severe range BP is __________

Answer 3

> = 160/110

Question 4

Treatment of cHTN/gHTN is BP management and _________

Answer 4

ASA 81 mg

Question 5

When to start ASA for cHTN?

Answer 5

between 12-16 wks

Question 6

What % of people with gHTN will go on to be diagnosed with pre-E?

Answer 6

50%

Question 7

Severe features of pre-E (6)

Answer 7

1) BP >= 160/110 (on 2 occasions at least 4 hours apart)
2) PLT <100
3) Cr >1.1 or >2x baseline
4) AST/ALT >2x ULN
5) Pulmonary edema
6) new onset HA unresponsive to medication, visual disturbances

Question 8

When to deliver pre-E withOUT severe features

Answer 8

37 wks (same as gHTN)

Question 9

When to deliver gHTN?

Answer 9

37 wks (same as pre-E withOUT severe features)