Maternal evaluation

1. Baseline laboratory tests include urinalysis and urine culture, serum creatinine, blood urea nitrogen, glucose, electrolytes, and 24-hour urine collection for total protein and creatinine clearance. An electrocardiogram should be obtained in women with long-standing hypertension.

2. Periodic reassessment of serum creatinine and quantitative testing for urine protein is recommended every trimester.

C. Indications for treatment. Women with chronic hypertension who are normotensive or mildly hypertensive on medication may continue their therapy or have their antihypertensive agents tapered and/or stopped during pregnancy.

1. Mild essential hypertension. Indications for initiating or reinstituting antihypertensive therapy are a diastolic pressure persistently above 100 mm Hg, systolic pressure >150 to 160 mm Hg, or signs of hypertensive end-organ damage.

2. Severe hypertension (blood pressure >180/110 mm Hg), particularly if associated with signs of early hypertensive encephalopathy, should be treated to protect the mother from stroke, heart failure, or renal failure.

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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