Refer all women with a history of hypertension who wish to become pregnant to a specialist in hypertensive disorders prior to conception, as they will require careful monitoring and possible medication adjustments NICE CKS.
Advise the woman that she will be at increased risk of pre-eclampsia during pregnancy and that she will need careful monitoring NICE CKS.
Discuss the importance of continuing effective contraception until full assessment and management are completed NICE CKS.
Ensure that her current antihypertensive medication is reviewed; avoid ACE inhibitors and ARBs due to increased risk of congenital abnormalities, and discuss alternative treatments with a specialist NICE CKS.
Discuss pre-conception measures such as weight management, exercise, healthy eating, and salt reduction, in line with NICE guidelines NICE CKS.