The ACOG guidance on chronic hypertension in pregnancy addresses diagnosis, particularly in light of the 2017 ACC/AHA recommendations that lowered the BP thresholds (see ‘Related ObG Topics’, below). ACOG states that for patients with stage 1 hypertension (systolic blood pressure of 130–139 mm Hg or diastolic blood pressure of 80–89 mm Hg)
…it is reasonable to continue to manage the patient in pregnancy as chronically hypertensive as specified in this guideline.
The uncertainty of the new approach to hypertension recommended by the ACA and AHA as applied to the care of pregnant women should be an active area of investigation.
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