hypertension in pregnancy Flashcards
what should women at risk of pre eclampsia take from weeks 12?
aspirin
risk factors for developing pre eclampsia?
hypertensive disease during previous pregnancies
CKD
autoimmune
type 1 or 2 diabetes
hypertension in pregnancy usually defined as?
over 140/90
an increase in blood pressure of what from bookings can suggest gestational hyperteniosn?
over 30 systolic or 15 diastolic
after establishing a patient is hypertensive, they should be put in one of three groups. what are these?
pre existing hypertension
gestational hypertension
pre eclampsia
when is the lowest blood pressure during pregnancy?
week 24
what happens to blood pressure after week 24?
steadily rises until term
why does maternal blood pressure drop?
expansion of the utero placental circulation
if have hypertension before 20 weeks, what is this?
pre existing hypertension
pregnancy induced hypertension is ?
diagnosed after 20 weeks - no proteinuria or any other signs of pre eclampsia
diastolic of over 110 - diagnostic/
yes, at any point
what does blood pressure need to be above on two occasions to diagnose gestational hypertension ?
140/90
management of hypertension in pregnancy?
stop ACE/ARB prior to conception
what do you do about new medications ?
do not rush to start new medications. BP will naturally decrease in pregnancy
what anti hypertensives are used in pregnancy ?
labetalol
methyl dopa
hydralazine
nifedipine
