Hypertension in pregnancy Flashcards

1
Q

What are the main types of hypertension that can be experienced in pregnancy?

A
  • Chornic hypertension
  • Pregnancy induced hypertension
  • Pre-eclampsia/Eclampsia
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2
Q

What is gestational hypertension defined as?

A

Hypertension in the second half of pregnancy (BP - 140/90) in the absence of proteinuria or other features of pre-eclampsia

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3
Q

What are those with gestational hypertension at risk of developing?

A

Pre-eclampsia

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4
Q

How would you assess hypertension in pregnancy?

A

Distinguish type

  • BP
  • Urinalysis
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5
Q

What hypertensive medications are used in pregnancy?

A
  • Nifedipine
  • Methyldopa
  • Labetalol
  • Hydralazine
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6
Q

What antihypertensive drugs should be changed if they are already hypertensive pre-pregnancy?

A
  • ACEi/ARBs
  • Diuretics
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7
Q

What blood pressure would you want to aim for in a pregnant woman with chronic hypertension?

A

<150/90 (or 140/90 if end organ damage)

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8
Q

What antiplatelet medication should you give someone from conception until birth if they have chronic hypertension?

A

Low dose Aspirin

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9
Q

What foetal factors would you want to assess during pregnancy in someone with chronic hypertension?

A
  • Foetal growth
  • Amniotic fluid volume
  • Umbilical artery dopplers
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10
Q

What medications would you use for inducing labour in someone with hypertension?

A

Oxytocin - no syntometreine

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11
Q

What are those on methyldopa at risk of post-natally?

A

Post-natal depression

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12
Q

What should be avoided as hypertensive treatment when a mother is breast-feeding?

A

Diuretics

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13
Q

What increase in BP is diagnostic of pregnancy induced hypertension?

A

Increase in BP of 30/15 during pregnancy

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