Question

A 29-year-old woman at 34 weeks gestation presents with new-onset hypertension 155/100 mmHg and 2 plus proteinuria on dipstick, with mild headache but normal reflexes and no right upper quadrant pain. Platelets and liver enzymes are normal. According to SOMANZ hypertension in pregnancy guidance, what is the most appropriate management?

Accepted Answer

Start labetalol and arrange same-day obstetric review

Answer

Reassure and review in 4 weeks without treatment

Answer

Start ACE inhibitor therapy in the community

Answer

Delay review until postpartum as hypertension is mild

Answer

Advise complete bed rest at home with no pharmacotherapy

Practice question