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Abstract
To the Editor: Magee et al. (Jan. 29 issue)1 provide important data from the Control of Hypertension in Pregnancy Study (CHIPS) to guide the management of hypertension in pregnancy. However, we caution against concluding that a policy of tight control is superior, on the basis of its lowered associated risk of severe maternal hypertension (a risk factor for stroke), to less-tight control. Severe hypertension was not a primary or key secondary outcome and was already a known risk associated with less-tight control.2 In addition, the only case of stroke occurred in the tight-control group. In CHIPS, women with prior severe . . .
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