Society for Maternal-Fetal Medicine Statement: Antihypertensive therapy for mild chronic hypertension in pregnancy-The Chronic Hypertension and Pregnancy trial
- PMID: 35710594
- DOI: 10.1016/j.ajog.2022.04.011
Society for Maternal-Fetal Medicine Statement: Antihypertensive therapy for mild chronic hypertension in pregnancy-The Chronic Hypertension and Pregnancy trial
Abstract
The recently published Chronic Hypertension and Pregnancy study provides important data to inform the management of mild chronic hypertension in pregnancy. The purpose of this statement is to review the results of this trial and provide guidance for the implementation of the study findings. Based on the available evidence, SMFM recommends treatment with antihypertensive therapy for mild chronic hypertension in pregnancy to a goal blood pressure of <140/90 mm Hg. Patients with treated chronic hypertension should continue established antihypertensive therapy during pregnancy or change to a regimen compatible with pregnancy to achieve this treatment goal.
Keywords: Chronic Hypertension and Pregnancy (CHAP) trial; antihypertensive therapy.
Copyright © 2022. Published by Elsevier Inc.
Similar articles
-
SMFM Statement: benefit of antihypertensive therapy for mild-to-moderate chronic hypertension during pregnancy remains uncertain.Am J Obstet Gynecol. 2015 Jul;213(1):3-4. doi: 10.1016/j.ajog.2015.04.013. Epub 2015 May 21. Am J Obstet Gynecol. 2015. PMID: 26004324 Review.
-
Management of blood pressure in pregnancy: new perspectives from the CHAP trial.Curr Opin Obstet Gynecol. 2023 Apr 1;35(2):81-86. doi: 10.1097/GCO.0000000000000845. Epub 2023 Jan 3. Curr Opin Obstet Gynecol. 2023. PMID: 36912258 Review.
-
Report of the Canadian Hypertension Society Consensus Conference: 3. Pharmacologic treatment of hypertensive disorders in pregnancy.CMAJ. 1997 Nov 1;157(9):1245-54. CMAJ. 1997. PMID: 9361646 Free PMC article. Review.
-
Maternal and fetal morbidity following discontinuation of antihypertensive drugs in mild to moderate chronic hypertension: A 4-year observational study.Pregnancy Hypertens. 2016 Oct;6(4):291-294. doi: 10.1016/j.preghy.2016.05.002. Epub 2016 May 20. Pregnancy Hypertens. 2016. PMID: 27939471
-
Treating hypertension in women of child-bearing age and during pregnancy.Drug Saf. 2001;24(6):457-74. doi: 10.2165/00002018-200124060-00004. Drug Saf. 2001. PMID: 11368252 Review.
Cited by
-
Hypertension subtypes and adverse maternal and perinatal outcomes - a retrospective population-based cohort study.BMC Pregnancy Childbirth. 2024 Aug 30;24(1):568. doi: 10.1186/s12884-024-06754-y. BMC Pregnancy Childbirth. 2024. PMID: 39215229 Free PMC article.
-
Case report of a rare cause of secondary hypertension illustrating the importance of cardio-obstetric preconception counselling.Eur Heart J Case Rep. 2024 Feb 20;8(3):ytae092. doi: 10.1093/ehjcr/ytae092. eCollection 2024 Mar. Eur Heart J Case Rep. 2024. PMID: 38638284 Free PMC article.
-
Pregnancy Outcomes in Women Who Developed Elevated Blood Pressure and Stage I Hypertension after 20 Weeks, Gestation.Am J Perinatol. 2024 Nov;41(15):2135-2143. doi: 10.1055/a-2298-5347. Epub 2024 Apr 3. Am J Perinatol. 2024. PMID: 38569509
-
Common risk factors in the shadow of rare pregnancy complications: Spotlighting the role of cardiovascular health in placental abruption.Paediatr Perinat Epidemiol. 2024 Mar;38(3):287-289. doi: 10.1111/ppe.13062. Epub 2024 Mar 7. Paediatr Perinat Epidemiol. 2024. PMID: 38450795 No abstract available.
-
Postpartum subarachnoid hemorrhage - questions on gestational hypertension diagnosis and treatment threshold: A case report.Case Rep Womens Health. 2023 Nov 27;40:e00569. doi: 10.1016/j.crwh.2023.e00569. eCollection 2023 Dec. Case Rep Womens Health. 2023. PMID: 38125398 Free PMC article.
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
