Question

A 30-year-old primigravida at 34 weeks' gestation is found to have persistent blood pressures around 152/102 mm Hg on repeated measurements. She has proteinuria of 1.0 g/day and normal platelet count and liver enzymes. She is otherwise well with a normal fetal assessment. According to SOGC Guideline No. 426 on hypertensive disorders of pregnancy, what is the most appropriate antihypertensive strategy?

Accepted Answer

Initiate oral labetalol or nifedipine to control blood pressure below 140/90 mm Hg

Answer

No antihypertensive treatment is needed until systolic >=160 mm Hg or diastolic >=110 mm Hg

Answer

Start ACE inhibitor therapy to protect renal function

Answer

Use thiazide diuretics as first-line therapy

Answer

Admit for immediate induction of labour regardless of maternal or fetal status

Practice question