Which organizations have issued guidelines for the management of hypertension (high blood pressure) during pregnancy?

Updated: Feb 22, 2019
  • Author: Matthew R Alexander, MD, PhD; Chief Editor: Eric H Yang, MD  more...
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Answer

Specific guidelines for the management of hypertension during pregnancy have been issued by the American College of Obstetricians and Gynecologists (ACOG), Society of Obstetricians and Gynecologists of Canada (SOGC). In addition, recommendations for managing hypertension in pregnancy are included in broader hypertension management guidelines from the following organizations:

  • Joint National Committee (JNC)
  • European Society of Hypertension (ESH)/European Society of Cardiology (ESC)
  • American Diabetes Association (ADA)

JNC 7 recommends treating women with chronic (preexisting) hypertension and no evidence of end-organ damage whose blood pressure is 150-160 mm Hg systolic or 100-110 mm Hg diastolic [5]

The ESH/ESC guidelines recommend considering treatment for pregnant women with chronic hypertension and BP ≥150/95 mm Hg; or in those women with BP ≥140/90 mm Hg who have gestational hypertension, subclinical organ damage, or symptoms. [126]

The 2013 ACOG guidelines recommend that in pregnant women with chronic hypertension treated with antihypertensive medication, BP levels should be maintained between 120/80 mm Hg and 160/105 mm Hg. [142]


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