{"id":14303,"date":"2023-03-07T15:11:21","date_gmt":"2023-03-07T15:11:21","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=14303"},"modified":"2025-12-09T12:06:55","modified_gmt":"2025-12-09T12:06:55","slug":"hypertension-in-pregnancy-2","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/pregnancy\/hypertension-in-pregnancy-2\/","title":{"rendered":"Hypertension in pregnancy"},"content":{"rendered":"\n<p><strong>Information<\/strong><\/p>\n\n\n\n<p>Hypertensive disorders during pregnancy affect around 8-10% of all pregnant women and can be associated with substantial complications for the woman and the baby including maternal morbidity, stillbirths, neonatal deaths and perinatal morbidity. Women with hypertension in pregnancy are also at increased risk of CVS disease in later life.<\/p>\n\n\n\n<p><strong>M.A. &amp; K.H. 07-03-23<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Aim to maintain BP under 140\/90mmHg. Women who are known to have hypertension or are on treatment for high blood pressure will be referred for Home Blood pressure monitoring in pregnancy by the community midwife. NHS Lothian provides these monitors with information leaflets and education to eligible women throughout pregnancy and till 10 days postnatal.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who can refer<\/strong>:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><em>GP<\/em><\/li>\n\n\n\n<li><em>Community midwife<\/em><\/li>\n\n\n\n<li><em>Patient self-referral<\/em><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who to refer:<\/strong><\/h4>\n\n\n\n<p>Women with hypertensive disorders in pregnancy should be cared for by an obstetric consultant. It would usually be recommended for them to give birth in an obstetric-led unit such as the labour ward at RIE and SJH.<\/p>\n\n\n\n<p>Consider the possibility of pre-eclampsia or eclampsia in pregnancy if a woman develops any of the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Severe headaches, increasing frequency, unrelieved by analgesia<\/li>\n\n\n\n<li>Visual problems<\/li>\n\n\n\n<li>Persistent new epigastric or RUQ pain<\/li>\n\n\n\n<li>Vomiting<\/li>\n\n\n\n<li>Hypertension &gt;140\/90<\/li>\n\n\n\n<li>Proteinuria<\/li>\n\n\n\n<li>Sudden onset SOB due to pulmonary oedema<\/li>\n\n\n\n<li>Sudden swelling of hands, face or feet<\/li>\n\n\n\n<li>Seizure<\/li>\n<\/ul>\n\n\n\n<p><strong>If concerns about pre-eclampsia or very high BP (160\/110mHg) \u2013 urgent referral to Obstetric Triage Assessment at Royal Infirmary (0131 242 2657) or labour ward at St John\u2019s Hospital (01506 524125), or contact the Obstetric Registrar On Call via Switchboard at Royal Infirmary \/ St John\u2019s Hospital.<\/strong><\/p>\n\n\n\n<p><strong>How to refer:<\/strong><\/p>\n\n\n\n<p><em>For referral to an obstetric consultant, please contact the community midwifery team for your area who can advise on who the locality consultant is and provide their secretaries details.<\/em><\/p>\n\n\n\n<p><em>For emergencies and urgent care, patients can come without calling.<\/em><\/p>\n\n\n\n<p><em>However, if possible, the patient should phone for advice first. There is a midwife who is available 24\/7:<\/em><\/p>\n\n\n\n<p><em>Royal Infirmary of Edinburgh 0131 242 2657<\/em><\/p>\n\n\n\n<p><em>St John\u2019s Hospital 01506 524125<\/em><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"883\" height=\"540\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Hypertension-in-Pregnancy.png\" alt=\"Hypertension in pregnancy\" class=\"wp-image-14304\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Hypertension-in-Pregnancy.png 883w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Hypertension-in-Pregnancy-300x183.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Hypertension-in-Pregnancy-768x470.png 768w\" sizes=\"auto, (max-width: 883px) 100vw, 883px\" \/><figcaption><span class=\"media-credit\">NHS Lothian<\/span><\/figcaption><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>NICE guideline 133: Hypertension in Pregnancy- Diagnosis and Management \u2013 25<sup>th<\/sup> June 2019<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nice.org.uk\/guidance\/NG133\" target=\"_blank\" rel=\"noreferrer noopener\">Overview | Hypertension in pregnancy: diagnosis and management | Guidance | NICE<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.rightdecisions.scot.nhs.uk\/maternity-gynaecology-guidelines\/maternity\/common-obstetric-problems-intrapartum-labour-ward\/postpartum-hypertension-guideline-for-management-322\/\" target=\"_blank\" rel=\"noreferrer noopener\">Postpartum Hypertension, Guideline for Management (322) | Right Decisions<\/a><\/p>\n\n\n<\/div><\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Information Hypertensive disorders during pregnancy affect around 8-10% of all pregnant women and can be associated with substantial complications for the woman and the baby including maternal morbidity, stillbirths, neonatal deaths and perinatal morbidity. Women with hypertension in pregnancy are also at increased risk of CVS disease in later life. M.A. &amp; K.H. 07-03-23<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4337,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[899],"class_list":["post-14303","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-hypertension-in-pregnancy-2"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/pregnancy\/https-apps-nhslothian-scot-refhelp-hypertension-in-pregnancy-2\/\" rel=\"tag\">Hypertension in Pregnancy<\/a>","rttpg_excerpt":"Information Hypertensive disorders during pregnancy affect around 8-10% of all pregnant women and can be associated with substantial complications for the woman and the baby including maternal morbidity, stillbirths, neonatal deaths and perinatal morbidity. Women with hypertension in pregnancy are also at increased risk of CVS disease in later life. M.A. &amp; K.H. 07-03-23","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14303","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=14303"}],"version-history":[{"count":3,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14303\/revisions"}],"predecessor-version":[{"id":25845,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14303\/revisions\/25845"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4337"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=14303"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=14303"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}