Peer Reviewed
Feature Article Hypertension
A guide to investigating hypertension in pregnancy
Abstract
Hypertension can affect between 3 and 10% of all pregnancies. The Australasian Society for the Study of Hypertension in Pregnancy consensus statement defines hypertension in pregnancy as a systolic blood pressure greater than or equal to 140 mmHg and/or a diastolic blood pressure (taken as Korotkoff sound V) above or equal to 90 mmHg.
Key Points
- Hypertension can affect between 3 and 10% of all pregnancies.
- Hypertension in pregnancy is defined as a systolic blood pressure greater than or equal to 140 mmHg and/or diastolic blood pressure above or equal to 90 mmHg.
- Gestational hypertension is defined as onset of hypertension in pregnancy after 20 weeks’ gestation in a woman with no previous history of renal disease or hypertension.
- Pre-eclampsia is defined as gestational hypertension associated with renal, hepatic, neurological or coagulopathic complications, or fetal growth restriction.
- Women with chronic hypertension should be monitored for the development of superimposed pre-eclampsia during pregnancy.
- Pre-eclampsia, by definition, resolves by three months postpartum.
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