Pre-existing hypertension in pregnancy Flashcards
1
Q
Definition
A
Blood pressure >140/90 before 20 weeks
2
Q
Risk factors
A
Older Obese Family history Developed hypertension whilst taking COC Underlying disease (renal, diabetes, others)
3
Q
Clinical features
A
Symptoms usually absent
May be signs of renal, cardiac or diabetes disease (incl proteinurea)
4
Q
Complications
A
Worsening hypertension
Pre-eclampsia
5
Q
Management
A
Labetalol Nifedipine NOT ACE INHIBITORS Low dose aspirin Screening for pre-eclampsia