At 12 weeks, a woman with chronic hypertension has repeated BP 152/96 mmHg on no treatment. She has no proteinuria or symptoms and previously

Question

At 12 weeks, a woman with chronic hypertension has repeated BP 152/96 mmHg on no treatment. She has no proteinuria or symptoms and previously developed pre-eclampsia at 34 weeks. Which combined plan is most appropriate?

Accepted Answer

Start labetalol and aspirin prophylaxis, with joint obstetric and medical antenatal follow-up

Answer

Start magnesium sulfate and arrange weekly fetal surveillance from 12 weeks

Answer

Arrange birth before 37 weeks because chronic hypertension predicts recurrent pre-eclampsia

Answer

Use an ACE inhibitor with aspirin because organ protection outweighs fetal risk

Answer

Observe without treatment until BP reaches 160/110 mmHg and start aspirin only if proteinuria appears

Chronic hypertension in pregnancy — DRCOG MCQ

At 12 weeks, a woman with chronic hypertension has repeated BP 152/96 mmHg on no treatment. She has no proteinuria or symptoms and previously developed pre-eclampsia at 34 weeks. Which combined plan is most appropriate?