Gestational Hypertension Flashcards
What is gestational hypertension?
Hypertension occurring in the second half of the pregnancy- after 20 weeks
After how many weeks is it classed as gestational hypertension?
After 20 weeks
What is the classification for gestational hypertension?
- Systolic > 140 mmHg or diastolic > 90 mmHg
* or an increase above booking readings of > 30 mmHg systolic or > 15 mmHg diastolic
What can the systolic measurements for gestational hypertension be?
Systolic > 140 mmHg
or an increase above booking readings of > 30 mmHg systolic
What can the diastolic measurements be for gestational hypertension?
Diastolic > 90 mmHg
or an increase above booking readings of > 15 mmHg diastolic
What are the features of gestational hypertension?
- No proteinuria
- No oedema
- Resolves following birth
When should gestational hypertension resolve?
Following birth
What is mild gestational hypertension?
140/90-149/99mmHg
What is the management of mild gestational hypertension?
No treatment
Regular monitoring
What is severe gestational hypertension?
Blood pressure above 150/100mmHg
What is the management of severe gestational hypertension?
Oral labetalol
What is are alternatives to oral labetalol?
Methyldopa
Nifedipine
Hydralazine
Who shoudn’t be given labetolol?
Asthmatics
What happens to a womans blood pressure int he first half of pregnancy?
Blood pressure falls until 20-24 weeks gestation
If a woman is already taking medication for blood pressure pre-prenancy, how should it be altered?
Stop any ACE inhibitor or angiotensin II receptor blocker (ARB)
Switch to a pregnancy safe antihypertensive- labetalol
