Pregnancy is a crucial phase for women, characterized by numerous physiological changes. One common condition during this period is hypertension, specifically known as pregnancy-induced hypertension (PIH). The incidence of PIH is increasing due to older ages at marriage and delayed conception. PIH generally manifests after 20 weeks of gestation and significantly contributes to both maternal and fetal morbidity and mortality. Hypertensive disorders of pregnancy (HDP) remain a significant challenge in obstetrics, affecting 5-10% of pregnancies and accounting for 16% of maternal deaths worldwide. Garbha upadrava shotha which we can correlate with endothelial dysfunction which we can correlate with gestational hypertension in modern.Although Ayurveda does not classify hypertension as a conventional disease, it provides valuable insights through the evaluation of doshas (body humors), dushyas (affected entities), srotas (body channels), and other related factors. This comprehensive approach, addressing physical, mental, and spiritual aspects, offers potential in both understanding and managing hypertension effectively.