Pregnancy
- Set BP target (e.g. <135/85 mmHg)
- Set schedule for BP monitoring
- US growth upon diagnosis, then serial growth scans (28, 32, 36, 38 weeks)
- Aim for birth at term (39+0 to 39+6, or earlier if other risk factors)
- Risk of pre-eclampsia ~1 in 7
Delivery
- CEFM on Delivery Suite only if indicated for other reasons
- Avoid ergometrine
Postnatal
- Stop methyldopa
- Continue antihypertensives or switch to enalapril/amlodipine
- GP 6-8 weeks after birth
- Advise on recurrence: ~1 in 7 (gestational hypertension) and ~1 in 14 (PET)
Resources
Patient information:
https://www.nhs.uk/pregnancy/related-conditions/complications/high-blood-pressure/
Guideline:
Useful notes (O&G, MFM) 