Hypertension in pregnancy

Question 1

what should women high risk of developing pre-eclampsia do?

Answer 1

take aspirin 75mg od from 12 weeks until the birth of the baby.

Question 2

high risk groups

Answer 2

hypertensive disease during previous
pregnancies

chronic kidney disease

autoimmune disorders such as SLE or antiphospholipid syndrome

type 1 or 2 diabetes mellitus

Question 3

normal pregnancy bp

Answer 3

blood pressure usually falls in the first trimester (particularly the diastolic), and continues to fall until 20-24 weeks

after this time the blood pressure usually increases to pre-pregnancy levels by term

Question 4

what is hypertension in pregnancy defined as?

Answer 4

systolic > 140 mmHg or diastolic > 90 mmHg
or

an increase above booking readings of > 30 mmHg systolic or > 15 mmHg diastolic