gestational HTN

Question 1

when ?Gestational HTN

Answer 1

*new onset elevation blood pressure at > 20 weeks of gestation
* no proteinuria or end organ damage

Question 2

The risk of progression from PIH to PET is

Answer 2

20-30%

this risk in
increased to 50% if PIH developed <32 weeks

test for proteinuria
each visit

Question 3

Risk factors for Gestational HTN

Answer 3

Diabetes type 1&2.
* Chronic kidney disease.
* Autoimmune disease ( SLE and anti-phospholipid syndrome).
* Hypertension

Question 4

HTN effect on the Fetus

Answer 4

fetal hypoxia
prematurity
IUGR
placental abruption
fetal death

Question 5

Gestational HTN treatment (moterate PIH)

Answer 5

start medications for moderate PIH ( oral labetalol) , and test for
proteinuria each visit , if developed pre-eclampsia , admission to
hospital immediately

Question 6

For severe HTN

Answer 6

admission to hospital for investigations and
observation and test for signs and symptoms of pre-eclampsia
➢Do growth ultrasound and umbilical artery doppler every 2 weeks , to
look for placental disease
➢If BP controlled , delivery is aimed to be after 37 weeks.
➢Continue measurement of BP for 6 weeks to confirm normal readings