What is the drug of choice for hypertension in pregnancy?

What is the drug of choice for hypertension in pregnancy?

Methyldopa is a drug of first choice for control of mild to moderate hypertension in pregnancy and is the most widely prescribed antihypertensive for this indication in several countries, including the US and the UK.

What are the 3 classification of gestational 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 it safe to take amlodipine in pregnancy?

Pregnancy and breastfeeding Amlodipine is not normally recommended in pregnancy or when breastfeeding. If you’re trying to get pregnant or you’re already pregnant, talk to your doctor about the benefits and possible harms of taking amlodipine. There may be other medicines that are safer for you.

Why is hydralazine given during pregnancy?

For many years, hydralazine has been the recommended antihypertensive of first choice for severe hypertension in pregnancy. Its side effects (such as headache, nausea, and vomiting) are common and mimic symptoms of deteriorating pre-eclampsia.

When do you treat hypertension in pregnancy?

Acknowledging limitations in evidenced-based data and other concerns discussed above regarding gestational age, we recommend a threshold for treatment of most pregnant hypertensive women of 140 to 150 mm Hg systolic, and/or 95 to 100 mm Hg diastolic to prevent worsening hypertension in the mother.

When is gestational hypertension an emergency?

During pregnancy, it is considered severe if either systolic BP is ≥160 mm Hg or DBP is ≥110 mm Hg. A hypertensive emergency is considered when severe HTN occurs acutely, persists for >15 minutes, and presents in a pregnant or postpartum patient with preeclampsia or eclampsia.

What qualifies as gestational hypertension?

After 20 weeks of pregnancy, blood pressure that exceeds 140/90 mm Hg — documented on two or more occasions, at least four hours apart, without any other organ damage — is considered to be gestational hypertension.

Why is amlodipine not given in pregnancy?

Amlodipine falls into category C. There are no good studies in pregnant women. Amlodipine should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. It is not known if amlodipine will harm your unborn baby.

How can I control high BP during pregnancy?

Some ways to lower the risk of high blood pressure during pregnancy include:

1. limiting salt intake.
2. staying hydrated.
3. eating a balanced diet that is rich in plant-based foods and low in processed foods.
4. getting regular exercise.
5. getting regular prenatal checkups.
6. avoiding smoking cigarettes and drinking alcohol.

When is hydralazine used in pregnancy?

Hydralazine is used to treat high blood pressure (hypertension). It is also used to control high blood pressure in a mother during pregnancy (pre-eclampsia or eclampsia) or in emergency situations when blood pressure is extremely high (hypertensive crisis).

Is hydralazine bad for pregnancy?

The side effects of hydralazine are headache, nausea, and vomiting. Importantly, hydralazine may result in maternal hypotension, which can subsequently result in a nonreassuring fetal heart rate tracing in the fetus.

What happens if you have high blood pressure during pregnancy?

When high blood pressure (HBP) occurs during pregnancy and is not appropriately treated, it may negatively affect the health of both a mother and her baby during pregnancy, during delivery, or after delivery.1,2 High blood pressure, also known as hypertension (HTN), is a common and treatable health condition that occurs in 6% to 8% of all

What are the names of the hypertensive disorders of pregnancy?

Hypertensive disorders of pregnancy are a heterogeneous group of conditions that include chronic hypertension, gestational hypertension, preeclampsia, and preeclampsia superimposed on chronic hypertension.

Can a woman with gestational hypertension develop preeclampsia?

However, some women with gestational hypertension have a higher risk of developing chronic hypertension in the future. 1,12 Preeclampsia happens when a woman who previously had normal blood pressure suddenly develops high blood pressure* and protein in her urine or other problems after 20 weeks of pregnancy.

What happens if your blood pressure is high at 20 weeks?

Preeclampsia happens when a woman who previously had normal blood pressure suddenly develops high blood pressure* and protein in her urine or other problems after 20 weeks of pregnancy. Women who have chronic hypertension can also get preeclampsia.

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