Reply to Pre-E questions....anyone have experience?

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[quote=Anonymous]Gestational hypertension
Assess severity:
Mild: 140-149/90-99 mm Hg. For patients presenting before 32 weeks (or at high risk of pre-eclampsia), measure BP twice a week; otherwise, measure BP no more often than weekly. Check urine for protein at each visit.
Moderate: 150-159/100-109 mm Hg. Monitor BP twice a week - start labetolol (alternatives are methyldopa or nifedipine) to keep systolic BP &lt;150 mm Hg and diastolic BP between 80-100 mm Hg. Dip urine for protein at each visit. Arrange initial blood tests for FBC, electrolytes, renal function, and LFTs. Subsequent blood tests are not necessary if there is no proteinuria.
Severe: ?160/110 mm Hg. Admit to hospital and treat as for moderate (above) to keep systolic BP &lt;150 mm Hg and diastolic BP between 80-100 mm Hg. Measure BP at least four times a day and check urine for protein daily. Weekly blood tests for FBC, electrolytes, renal function, and LFTs. Check BP and urine twice weekly (and continue weekly blood tests) when discharged (once BP is in the target range).

Very reassuring guidance for doctors from the UK

http://www.patient.co.uk/doctor/hypertension-in-pregnancy

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