What is the ACOG recommended treatment for acute severe hypertension during pregnancy?

Updated: Jun 12, 2018
  • Author: Michael P Carson, MD; Chief Editor: Edward H Springel, MD, FACOG  more...
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Answer

Answer

Acute severe hypertension in pregnancy is a medical emergency requiring treatment to lower blood pressures within 30 minutes of confirmation to reduce risk of maternal stroke.  According to the February 2015 ACOG Committee Opinion #623 “Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Post-Partum Period,” first line options for treatment include oral immediate-release nifedipine, IV labetalol, and IV hydralazine. [4]


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