When do you treat chronic
hypertension in pregnancy?
The American Congress of Obstetricians and Gynecologists (ACOG)
recommends that women with chronic hypertension (CHTN) with no evidence of end
organ damage (such as kidney disease) do not need treatment with pharmacologic
antihypertensive therapy if their systolic blood
pressure (SBP) is less than 160 mm Hg systolic or their diastolic
blood pressure (DBP) is less than 105 mm Hg .
Women with CHTN who have a SBP of 160 mm Hg or higher or DBP
of 105 mm Hg or
higher , OR women with CHTN with evidence of end organ
damage should be treated to maintain SBP between 120 and 160 mm Hg and DBP
between 80 to 105 mm hg.
Hypertension in pregnancy: executive summary.
Obstet Gynecol. 2013 Nov;122(5):1122-31. doi:10.1097/01.AOG.0000437382.03963.88.PMID:24150027