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Postnatal hypertension after pre-eclampsia — DRCOG MCQ

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ModeratePostnatalPostnatal hypertension after pre-eclampsiaDRCOG

A 31-year-old woman had pre-eclampsia and was discharged on labetalol. On day 7 postpartum her BP is 138/86 mmHg and she feels well. Blood tests before discharge were improving. What is the most appropriate management?

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Correct answer: B — Consider reducing antihypertensive treatment according to her care plan

In women treated for pre-eclampsia postpartum, antihypertensive treatment can be considered for reduction when BP falls below 140/90 mmHg, following the documented care plan. Abrupt stopping without monitoring may allow rebound hypertension. Waiting until 6 weeks is too late for postnatal BP management. Aspirin is not an antihypertensive.

Reference: NICE NG133; NICE NG194