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- Title
Pregnancy hypertension diagnosis and care in COVID-19 era and beyond.
- Authors
Magee, L. A.; Khalil, A.; von Dadelszen, P.
- Abstract
Treat hypertension (BP >= 140/90 mmHg) with antihypertensive therapy Oral antihypertensive therapy halves the risk of severe hypertension (systematic review, 31 trials, 3485 women)[11], which is an outcome that warrants face-to-face assessment in all jurisdictions, even during the COVID-19 pandemic. BP control was achieved by a simple algorithm of up or down titration of antihypertensive medication (Figure 1), using single or multiple medications; in Figure 2, we provide practical advice and a protocol for dosing escalation from starting to maximum dosage and medication combinations. *If systolic BP is >= 160 mmHg, increase dose of existing medication or start new antihypertensive medication to get systolic BP < 160 mmHg, regardless of diastolic BP (dBP). In a systematic review of maternal risk stratification in pregnancy hypertension (32 studies), miniPIERS (Pre-eclampsia Integrated Estimate of Risk Score) was the only model for all pregnancy hypertension types[18].
- Subjects
ECLAMPSIA; HYPERTENSION in pregnancy; COVID-19; HIGH-risk pregnancy; MEDICAL personnel; DIAGNOSIS
- Publication
Ultrasound in Obstetrics & Gynecology, 2020, Vol 56, Issue 1, p7
- ISSN
0960-7692
- Publication type
journal article
- DOI
10.1002/uog.22115