Gestational Hypertension
( From Hypertension in pregnancy: diagnosis and management
NICE guideline, 2019)
- a full assessment should be carried out in a secondary care setting by a trained healthcare professional.
Antihypertensive of choice- As for chronic Hypertension.
Timing of delivery- as for chronic hypertension.
Postpartum care- As for chronic hypertension.
- For Women who did not take antihypertensive treatment and have given birth, start antihypertensive treatment if BP is 150/100 mmHg or higher.
- advise women that the duration of their postnatal antihypertensive treatment will usually be similar to the duration of their antenatal treatment (but may be longer)
- reduce antihypertensive treatment if their blood pressure falls below 130/80 mmHg. .
On transfer to community- make a care plan- who will provide follow-up care, including medical review if needed, frequency of BP monitoring needed, thresholds for reducing or stopping treatment, indications for referral to primary care for BP review.
If antihypertensive is still needed after 2 weeks of delivery- offer medical review with their GP or specialist 2 weeks after transfer to community care.
All women who have had gestational hypertension – Offer a medical review with
their GP or specialist 6–8 weeks after the birth.
Read the summary on Chronic Hypertension here