Abstract
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Highlights
Introduction and epidemiologyHypertension in pregnancy is an important cause of direct maternal deaths in Sri Lanka
10% of pregnant women are affected by hypertensive disorders in pregnancy
B) Pre-eclampsia: Gestational hypertension associated with significant proteinuria (UPCR 30mg/mmo1 or 2+ or more on dipstick or 300mg/24 hours)
Summary
10% of pregnant women are affected by hypertensive disorders in pregnancy. (Systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg). Offer antihypertensive pharmacological treatment if BP remains sustained ≥140/90 mmHg. Aim for a target blood pressure of 135/ 85 mmHg. Consider labetalol to treat hypertension in pregnant women. In women with chronic hypertension who have given birth: aim to keep blood pressure lower than 140/90 mmHg and continue antihypertensive treatment. Reduce/Stop antihypertensive treatment if their blood pressure falls below 130/80 mmHg. Offer women who have had gestational hypertension and remain on antihypertensive treatment, a medical review at 2 weeks. Offer all women who have had gestational hypertension a medical review at 6 weeks
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