Hypertension | Guidelines and Management

Management of hypertension in pregnancy

  • Joint national committee (JNC 7) recommended the treatment of the pregnant females with chronic (preexisting) hypertension who have blood pressure higher than 150/100 mmHg or 160/110 mmHg, regardless of the presence of organ damage.
  • American College of Obstetricians and Gynecologists (ACOG) recommended considering fetal safety in the treatment plan. These guidelines recommended the alpha-methyl dopa as the first-line antihypertensive in pregnancy. Also, diuretics and beta-blockers are safe in pregnancy. These guidelines recommended avoiding the angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, and renin inhibitors.