Ambulatory management of chronic hypertension in pregnancy

Clin Obstet Gynecol. 2012 Sep;55(3):744-55. doi: 10.1097/GRF.0b013e31825c8bcd.


Chronic hypertension in pregnancy is one of the most common medical diseases affecting pregnancy. It is associated with serious maternal and fetal complications, including superimposed pre-eclampsia, fetal growth restriction, premature delivery, placental abruption, and stillbirth. Baseline evaluation as early as possible is important to differentiate women with essential hypertension from those with severe hypertension, coexisting end-organ damage, and secondary causes of hypertension, as their risks of poor outcomes are increased. An optimal plan for maternal treatment and fetal surveillance can then be formulated. Coordination of care after delivery is important for long-term maternal health and future pregnancies.

Publication types

  • Review

MeSH terms

  • Ambulatory Care
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Antihypertensive Agents / therapeutic use
  • Aspirin / therapeutic use
  • Disease Management
  • Eclampsia / prevention & control
  • Female
  • Humans
  • Hypertension / complications*
  • Hypertension / therapy*
  • Hypertension, Pregnancy-Induced / therapy*
  • Pre-Eclampsia / prevention & control
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / therapy*


  • Anti-Inflammatory Agents, Non-Steroidal
  • Antihypertensive Agents
  • Aspirin