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Management of chronic hypertension in postnal period

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Chronic hypertension - postnatal period

  • in women with chronic hypertension, blood pressure measurement after birth should be done
    • daily for the first 2 days after birth
    • at least once between day 3 and day 5 after birth
    • as clinically indicated if antihypertensive treatment is changed after birth
  • in women with chronic hypertension who have given birth, aim to keep blood pressure lower than 140/90 mmHg
  • in women with chronic hypertension who have given birth:
    • continue antenatal antihypertensive treatment
    • review long-term antihypertensive treatment 2 weeks after the birth
  • if a woman has taken methyldopa to treat chronic hypertension during pregnancy, stop within 2 days of birth and restart the antihypertensive treatment the woman was taking before she planned the pregnancy
  • offer women with chronic hypertension a medical review at the postnatal review (6-8 weeks after the birth) with the pre-pregnancy care team

Reference:

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