What are the indications for initiating antihypertensive therapy in pregnant patients with gestational hypertension?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025Updated: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Antihypertensive therapy should be initiated in pregnant women with gestational hypertension if their blood pressure remains above 140/90 mmHg, to reduce the risk of adverse maternal and fetal outcomes .

Pharmacological treatment is offered once blood pressure exceeds this threshold, with a target of 135/85 mmHg or less .

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