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Chronic Hypertension

What is hypertension?

Hypertension is another word for high blood pressure. It may exist before a woman becomes pregnant (chronic hypertension) or it may develop during pregnancy (pregnancy induced hypertension).

How does hypertension affect pregnancy?

Hypertension can be associated with increased risks to both mother and fetus, including but not limited to low birth weight and preeclampsia.

How is hypertension managed in pregnancy?

Women with hypertension are often co-managed by a perinatologist at SFPA in conjunction with the woman’s doctor. Treatment for hypertension requires ultrasound surveillance throughout the pregnancy to assess appropriate fetal growth. Antepartum Testing in the third trimester is also recommended. Occasionally, medication is required to control blood pressure.

How are anti-hypertensive medications monitored in pregnancy?

Women with chronic hypertension already on medication prior to pregnancy should continue their anti-hypertensive drugs. However dose adjustments may be necessary to keep the blood pressure in control. Some medications used to treat chronic hypertension may put a pregnancy at additional risk and should be changed prior to conception. Issues around safe versus non-safe medications should be discussed with your doctor prior to pregnancy.

If you have high blood pressure and are planning pregnancy or are pregnant, ask your doctor if a referral to a perinatologist at SFPA is right for you. All of these issues can be discussed with the perinatologist at SFPA who will work closely with your doctor throughout your pregnancy to maximize a healthy outcome for you and your baby.