Criteria for hypertension — During pregnancy, hypertension is defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg. Severe hypertension is defined as systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥110 mmHg.
How is pregnancy-induced hypertension diagnosed?
Tests for pregnancy-induced hypertension may include the following:
- blood pressure measurement.
- urine testing.
- assessment of edema.
- frequent weight measurements.
- eye examination to check for retinal changes.
- liver and kidney function tests.
- blood clotting tests.
What are the diagnostic criteria for gestational hypertension?
Gestational hypertension is diagnosed when blood pressure readings are higher than 140/90 mm Hg in a woman who had normal blood pressure prior to 20 weeks and has no proteinuria (excess protein in the urine). Preeclampsia is diagnosed when a woman with gestational hypertension also has increased protein in her urine.
What is classified as hypertension in pregnancy?
Definitions. Chronic hypertension is defined as blood pressure exceeding 140/90 mm Hg before pregnancy or before 20 weeks’ gestation. When hypertension is first identified during a woman’s pregnancy and she is at less than 20 weeks’ gestation, blood pressure elevations usually represent chronic hypertension.
What criteria are used to establish the diagnosis of severe preeclampsia?
Severe features of preeclampsia include a systolic blood pressure of at least 160 mm Hg or a diastolic blood pressure of at least 110 mm Hg, platelet count less than 100 × 103 per μL, liver transaminase levels two times the upper limit of normal, a doubling of the serum creatinine level or level greater than 1.1 mg per …
Will I be induced if I have gestational hypertension?
Induction of labor after 37 weeks recommended for women with gestational hypertension/mild pre-eclampsia (Hypitat study) Pregnant women with mild hypertensive disorders such as high blood pressure/mild pre-eclampsia^ should have their labour induced once they complete 37 weeks of their pregnancy.
What is the difference between preeclampsia and pregnancy-induced hypertension?
Pregnancy-induced hypertension is a rise in blood pressure, without proteinuria, during the second half of pregnancy. Pre-eclampsia is a multisystem disorder, unique to pregnancy, that is usually associated with raised blood pressure and proteinuria. It rarely presents before 20 weeks’ gestation.
What are the three forms of pregnancy induced hypertension?
Hypertensive disorders during pregnancy are classified into 4 categories, as recommended by the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy: 1) chronic hypertension, 2) preeclampsia-eclampsia, 3) preeclampsia superimposed on chronic hypertension, and 4) gestational …
Is gestational hypertension high risk?
A woman is more likely to develop high blood pressure (hypertension) during pregnancy if she: Is under age 20 or over age 40. Has a history of chronic hypertension (high blood pressure before becoming pregnant) Has had gestational hypertension or preeclampsia during past pregnancies.
Can gestational hypertension go away?
Gestational hypertension is high blood pressure that you develop while you are pregnant. It starts after you are 20 weeks pregnant. You usually don’t have any other symptoms. In many cases, it does not harm you or your baby, and it goes away within 12 weeks after childbirth.
What is the safest blood pressure medication during pregnancy?
Methyldopa has been used for decades to treat high blood pressure in pregnancy and it appears to be safe. Labetalol has been extensively studied and has become increasing prescribed in pregnancy. Labetalol is now commonly used as a first-line treatment choice.
What antihypertensives are not safe in pregnancy?
Angiotensin-converting enzyme inhibitors (ACE-I) and angiotensin receptor blocking agents are contraindicated in the second or third trimesters because of toxicity associated with reduced perfusion of the fetal kidneys; use is associated with a fetopathy similar to that observed in Potter’s syndrome (ie, bilateral …
How can I lower my blood pressure while pregnant?
Some ways to lower the risk of high blood pressure during pregnancy include:
- limiting salt intake.
- staying hydrated.
- eating a balanced diet that is rich in plant-based foods and low in processed foods.
- getting regular exercise.
- getting regular prenatal checkups.
- avoiding smoking cigarettes and drinking alcohol.
How do you know if you are getting preeclampsia?
Other signs and symptoms of preeclampsia may include: Excess protein in your urine (proteinuria) or additional signs of kidney problems. Severe headaches. Changes in vision, including temporary loss of vision, blurred vision or light sensitivity.
How do you rule out preeclampsia?
If your doctor suspects preeclampsia, you may need certain tests, including:
- Blood tests. Your doctor will order liver function tests, kidney function tests and also measure your platelets — the cells that help blood clot.
- Urine analysis. …
- Fetal ultrasound. …
- Nonstress test or biophysical profile.
What blood tests show preeclampsia?
A woman who has preeclampsia may have specific blood tests to help assess her health.
- Uric acid. Increased uric acid in the blood is often the earliest laboratory finding related to preeclampsia. …
- Hematocrit. …
- Platelets. …
- Partial thromboplastin time (PTT). …
- Electrolytes. …
- Kidney function tests. …
- Liver function tests.