Hypertension in Pregnancy

Question 1

what happens to blood pressure in the first trimester?

Answer 1

falls (continues to fall until 20-24 weeks)

Question 2

how should the risk of pre-eclampsia be reduced in women who are at high risk?

Answer 2

aspirin 75mg OD from 12 weeks until birth

Question 3

what is hypertension in pregnancy?

Answer 3

• systolic >140mmHg or diastolic >90mmHg
• increase above booking readings of systolic >30mmHg or diastolic >15mmHg

Question 4

what is the definition of pre-existing hypertension in pregnancy?

Answer 4

• history of hypertension
• blood pressure >140/90 before 20 weeks gestation

Question 5

what is the definition of pregnancy-induced hypertension?

Answer 5

hypertension occuring after 20 weeks

Question 6

what are women with pregnancy-induced hypertension at more risk of?

Answer 6

future pre-eclampsia or hypertension later in life

Question 7

when does pregnancy-induced hypertension typically resolve?

Answer 7

following birth (typically after 1 month)

Question 8

what is the definiton of pre-eclampsia?

Answer 8

pregnancy-induced hypertension + proteinuria

Question 9

what is the first-line anti-hypertensive in pregnancy?

Answer 9

labetalol

Question 10

what is the first-line anti-hypertensive in pregnancy who are asthmatic?

Answer 10

nifedipine