HTN in Pregnancy

Question 1

what should women who are at high risk of developing pre-eclampsia take?

Answer 1

aspirin 75mg OD from 12 wks until birth of baby

Question 2

what are the high risk groups for developing pre-eclampsia?

Answer 2

1. hypertensive disease during previous pregnancies 2. CKD 3. autoimmune disorders e.g. SLE, APS 4. T1DM/T2DM

Question 3

when does BP usually fall in pregnancy?

Answer 3

1st trimester (especially diastolic), and continues to fall until 20-24 wks after this, BP usually increases to pre-pregnancy levels by term

Question 4

what is HTN in pregnancy usually defined as?

Answer 4

systolic > 140 or diastolic >90 OR an increase above booking readings of >30 systolic or >15 diastolic

Question 5

after establishing that the pt is hypertensive, what categories should they be put into?

Answer 5

1. pre-existing HTN /
2. pregnancy-induced HTN (PIH) a.k.a. gestational HTN /
3. pre-eclampsia

Question 6

what are the classifications for gestational hypertension?

Answer 6

Question 7

how is moderate gestational HTN treated?

Answer 7

oral labetalol

Question 8

what do you give a woman who has a hx of asthma for moderate gestational HTN?

Answer 8

BB contraindicated so give nifedipine and methyldopa

*methyldopa C/I in depression