Severe hypertension in pregnancy — UKMLA MCQ

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MediumObstetrics & GynaecologySevere hypertension in pregnancyUKMLA

A 29-year-old pregnant woman at 34 weeks has a blood pressure of 160/105 mmHg and 2+ proteinuria on dipstick. According to NICE, which medication is recommended as first-line antihypertensive therapy for severe hypertension in pregnancy?

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Correct answer: D — Labetalol

Labetalol is recommended as first-line for severe hypertension in pregnancy. Methyldopa and modified-release nifedipine are alternatives. ACE inhibitors are contraindicated in pregnancy. Atenolol is not preferred due to potential fetal growth restriction.

Reference: NICE Guideline [NG133] Hypertension in pregnancy: diagnosis and management