The choice of antihypertensive drugs also is discussed; methyldopa, labetalol, and nifedipine, among others, appear safe for use in pregnancy, whereas angiotensin converting enzyme inhibitors and angiotensin receptor blockers should be avoided.
What is JNC VII?
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7)
Is there a medication for hypertensive pregnant woman?
Intravenous (IV) labetalol and hydralazine have long been considered first-line medications for the management of acute-onset, severe hypertension in pregnant women and women in the postpartum period. Available evidence suggests that oral nifedipine also may be considered as a first-line therapy.
What blood pressure meds are contraindicated in pregnancy?
Some commonly prescribed antihypertensive drugs are contraindicated or best avoided before conception and during pregnancy (Table 1 ). These include ACE inhibitors, angiotensin receptor antagonists, diuretics and most beta blockers.
What are the classes of hypertension according to the latest JNC?
High normal: Systolic 130-139 mm Hg and/or diastolic 85-89 mm Hg. Grade 1: Systolic 140-159 mm Hg and/or diastolic 90-99 mm Hg. Grade 2: Systolic 160-179 mm Hg or greater and/or diastolic 100-109 mm Hg. Grade 3: Systolic 180 mm Hg or greater and/or diastolic 110 mm Hg or greater.
What is the JNC 7 complete report on hypertension?
This complete version of the updated guidelines for hypertension is written for the health care professional who wants to understand the science behind the new recommendations on high blood pressure. The JNC 7 Complete Report focuses on the new evidence, including a revised treatment algorithm, drug tables, and more.
How does pharmacological management of hypertension in pregnancy affect pregnancy?
Hypertension in pregnancy remains a significant public health problem. Pharmacological management of blood pressure in pregnancy is impacted by changes in maternal drug disposition and by the pharmacodynamic effects of specific agents.
What happens if you have high blood pressure during pregnancy?
Some women have high blood pressure during pregnancy. This can put the mother and her baby at risk for problems during the pregnancy. High blood pressure can also cause problems during and after delivery.1,2 The good news is that high blood pressure is preventable and treatable. High blood pressure, also called hypertension, is very common.
Does gestational hypertension increase the risk of developing chronic hypertension?
However, some women with gestational hypertension have a higher risk of developing chronic hypertension in the future. 1,12 Preeclampsia happens when a woman who previously had normal blood pressure suddenly develops high blood pressure* and protein in her urine or other problems after 20 weeks of pregnancy.
