Hypertension in pregnancy

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HYPERTENSIVE STATES IN PREGNANCY

Management of Pregnancy-Induced Hypertension
Influenced by many factors including disease severity, gestational age and foetal condition
Restricting calories, fluids & salt intake does not prevent pregnancy – induced high BP & may
even be harmful to foetus.
Early detection & management in women with risk factors critical to its management and
prevention of convulsions
Indications for Delivery
➢ BP consistently more than 100 mm/Hg diastolic in a 24hr period or confirmed > 110mm/Hg
➢ Proteinuria more than 1g/24hours (+3 or +4).
➢ Rising serum creatinine
➢ Persistent or severe headache
➢ Epigastic pain
➢ Abnormal LFTS
➢ HELLP syndrome (HELLP- Haemolysis, elevated liver enzymes & low platelet count)
➢ Thrombocytopaenia
➢ Eclampsia
➢ Pulmonary Oedema
➢ Abnormal FHR
➢ IUGR with failure to grow weekly U/s exams

Mild PET:
Gestation less than 37 weeks
1

o If signs remain unchanged or normalize, follow up twice a week as outpatient (If not
feasible keep in ward)
o Monitor BP, proteinuria, reflexes and fetal condition
o Counsel for danger signs or severe PET, or eclam...


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