Hypertension in pregnancy

Question 1

What mmHg (sys and dia) merit hospital admission

Answer 1

Systolic 160mmHg
Diastolic 110mmHg

Question 2

Anti-hypertensives used in pregnancy

(know what is 1st line and what comes after)

Answer 2

Labetalol 1st line

Nifedipine 2nd line (or in asthmatics)

(hydralazine)

Question 3

Contraindications to labetalol

Bonus pts for alternative drug

Answer 3

DO NOT GIVE LABETALOL IN ASTHMATICS

alternative: nifedipine

Question 4

Pre-existing hypertension verses pregnancy-induced hypertension (PIH) definition

in terms of gestation..

Answer 4

Pre-existing= elevated bp before 20 weeks

PIH= BP elevated after 20 weeks but not before

Question 5

Diagnostic mmHg for HTN in pregnancy

Sys or Dia (give both)

Answer 5

Systolic >140mmHg

Diastolic >90mmHg

OR an increase by 30mmHg in sys or 15mmHg in diastolic

Question 6

antenatal check… check bp and what else?

Answer 6

Dipstick!

relevant for distinguishing between HTN and pre-eclampsia