- Bed Rest. Bed rest, or restricted activity, has long been prescribed for cases of gestational hypertension, regardless of its underlying cause.
- Short-Term and Long-Term Drug Therapy. Drug therapy is an effective, proven way to moderate blood pressure during pregnancy, though care must be used in selecting and administering drugs.
- Fetal Evaluation. Fetal evaluation – checking the health and status of the baby – is a somewhat controversial component of treating gestational hypertension.
How to manage hypertension in pregnancy effectively?
Women can suffer from various types of high blood pressure in pregnancy, some of them being:
- Preeclampsia: A complication in pregnancy that is characterized with very high blood pressure. ...
- Chronic hypertension: Present before conception or during the first 20 weeks of pregnancy.
- Chronic hypertension with superimposed preeclampsia: This condition occurs in pregnant women who are already suffering from chronic blood pressure.
Is it safe to use an antihypertensive in pregnancy?
The choice of antihypertensive drugs also is discussed; methyldopa, labetalol, and nifedipine, among others, appear safe for use in pregnancy, whereas angiotensin converting enzyme inhibitors and angiotensin receptor blockers should be avoided.
How do you treat hypertension in pregnancy?
For the pregnant parent:
- Weekly evaluations of your platelet count, serum creatinine, and liver enzyme levels
- Weekly assessment of protein in the urine (indicating preeclampsia)
- Regular blood-pressure checks, either by a doctor or at home (after receiving medical guidance and the proper supplies)
What hypertension medications can you use during pregnancy?
Medicines to avoid during pregnancy
- Angiotensin converting enzyme inhibitors. Angiotensin converting enzyme (ACE) inhibitors interfere with the body’s production of a chemical that causes the arteries to constrict.
- Diuretics. Diuretics such as furosemide (Lasix) and hydrochlorothiazide (Microzide) should be avoided during pregnancy.
- Propranolol. ...
What are the best treatment for hypertension in pregnancy?
According to NHBPEP methyldopa, labetalol, beta blockers (other than atenolol), slow release nifedipine, and a diuretic in pre-existing hypertension are considered as appropriate treatment [1].
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 is the first-line treatment for hypertension in pregnancy?
Background: Hydralazine, labetalol, and nifedipine are the recommended first-line treatments for severe hypertension in pregnancy.
Why is labetalol first choice in pregnancy?
High blood pressure in pregnancy can cause complications for mother and baby. Labetalol is a blood pressure medication that is recommended for use in pregnancy as it has been shown to work well to lower blood pressure and it has a licence for use in pregnancy.
Why labetalol is given in pregnancy?
Labetalol can help to control high blood pressure and therefore reduces the risk of pregnancy complications.
Are ACE inhibitors used in pregnancy?
It is well accepted that angiotensin-converting enzyme (ACE) inhibitors are contraindicated during the second and third trimesters of pregnancy because of increased risk of fetal renal damage. First-trimester use, however, has not been linked to adverse fetal outcomes.