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Gestational Hypertension — ESENeph MCQ

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EasyPregnancy & RenalGestational HypertensionESENeph

A 26-year-old woman at 24 weeks gestation develops new hypertension (150/95 mmHg) without proteinuria. Bloods are normal. Fetal growth is normal. She has no history of hypertension. What is the diagnosis?

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Correct answer: E — Gestational hypertension

New hypertension developing after 20 weeks gestation without proteinuria or other features of pre-eclampsia is classified as gestational hypertension per NICE NG133. It occurs in 6-7% of pregnancies. It may progress to pre-eclampsia, so close monitoring of BP, proteinuria, and bloods is essential. Treatment with Labetalol (first-line) is indicated if BP ≥150/100. If proteinuria or organ dysfunction develops, the diagnosis is reclassified as pre-eclampsia.

Reference: NICE NG133 2019 – Hypertension in Pregnancy