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Postnatal investigation, monitoring and treatment of gestational hypertension

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Postnatal investigation, monitoring and treatment

  • in women with gestational hypertension who have given birth, measure blood pressure:
    • 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 gestational hypertension who have given birth:
    • continue antihypertensive treatment if required
    • advise women that the duration of their postnatal antihypertensive treatment will usually be similar to the duration of their antenatal treatment (but may be longer)
    • reduce antihypertensive treatment if their blood pressure falls below 130/80 mmHg
  • if a woman has taken methyldopa to treat gestational hypertension, stop within 2 days after the birth and change to an alternative treatment if necessary

  • for women with gestational hypertension who did not take antihypertensive treatment and have given birth, start antihypertensive treatment if their blood pressure is 150/100mmHg or higher

  • offer women who have had gestational hypertension and who remain on antihypertensive treatment, a medical review with their GP or specialist 2 weeks after transfer to community care
  • offer all women who have had gestational hypertension a medical review with their GP or specialist 6-8 weeks after the birth

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