Severe Pregnancy Hypertension

Obstetrics

BP ≥160/110 in pregnancy with or without pre-eclampsia features.

Investigations

  • FBC, LFT, U&E, urate, urinalysis (proteinuria)
  • CTG, growth USS

Management

  • IV labetalol 20 mg (up to 80 mg q10 min max 300), OR
  • IV hydralazine 5-10 mg q20 min, OR nifedipine 10 mg PO
  • MgSO4 4 g IV load then 1 g/h for pre-eclampsia/eclampsia seizure prophylaxis
  • Deliver if ≥37/40 or severe features

Related in WardRound

Educational — verify locally.

WardRound

WardRound

Clinical Decisions in Seconds