2. Hypertension during pregnancy
Rooma Sinha
Mild Hypertension (144-
149/90-99mm Hg)
Moderate Hypertension
(150-159/100-109mm Hg)
Severe Hypertension
(>160mm Hg)
No hospitalization or
Treatment Required.
Treatment Required
Hospitalization
Required
Monitor BP once in a week Monitor BP twice a week (minimum)
Monitor BP q.i.d
Drug therapy: Labetalol
PO to maintain BP below
150/80-100mm Hg
Lab tests:
Proteinuria/•
•
• •
•
•
• •
•
•
•
•
week & Routine
antenatal tests.
If gestational age
is <32 weeks or
patient at high
risk of pre-
eclampsia,
monitor BP &
proteinuria,
twice a week.
Lab tests:
Proteinuria twice
a week.
KFTs,
Electrolytes
CBC
Serum bilirubin
Serum
transaminases
Drug therapy: Labetalol
PO to maintain BP<
150/80-100 mm Hg
Lab tests:
At presentation and
then weekly
Proteinuria
KFTs
Electrolyte
CBC
Serum bilirubin
Serum
transaminase
If no subsequent proteinuria,
no further blood test needed
Timing of birth:
No elective birth if <37 weeks.
>37 weeks: timing of birth including indications
(maternal & fetal) decided after mutual
discussion.
Effective control of BP:
Monitor BP & Proteinuria
twice a week.
Blood test a week.
Antenatal check up: measure BP
Algorithm 2: Hypertension during Pregnancy.
Sr. Consultant Gynecologist & Laparoscopic Surgeon, Apollo Health City, Jubilee Hills, Hyderabad, India.
email: drroomasinha@hotmail.com
Received: 11.7.2012; Accepted: 19.7.2012; Available online: 27.7.2012
http://dx.doi.org/10.1016/j.apme.2012.07.016
Apollo Medicine 2013 December
Volume 10, Number 4; p. 327
Algorithms
