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Symptoms and lab abnormalities of preeclampsia will be absent.
At least half of women with hypertension in the latter half of pregnancy progress to preeclampsia, so gestational hypertension should be considered a provisional diagnosis.
Preeclampsia is a multisystem, life-threatening disorder characterized by hypertension and proteinuria (greater than 300 mg/day).
Fetal factors include: multiple gestations, molar pregnancies, hydrops, and triploidy.5,12 When should antihypertensive medications be used in pregnancy?
Due to increased metabolism during pregnancy, medications otherwise dosed once per day often require two doses per day, and those dosed twice daily often require every-eight-hour dosing to maintain efficacy.
Additionally, titration up every few days may be required.
Preeclampsia might be diagnosed before fetal viability (approximately 24 weeks gestation), although the vast majority of cases occur near term.
Risks of premature delivery must be balanced with the risks of progressively severe manifestations for the mother and fetus.
The obstetric team will begin weight-based insulin to achieve glycemic targets, and they ask for your input regarding blood-pressure management.