Hypertension in pregnancy: The management of hypertensive disorders during pregnancy

NICE guidelines [CG107] Published date:

Review decision date: August 2013

Next review date: September 2014

This clinical guideline offers evidence-based advice on the care and treatment of women who have or are at risk of developing hypertension (high blood pressure) in pregnancy. It contains advice on the diagnosis and management of hypertension during pregnancy, birth and the postnatal period. It also includes advice for women with chronic hypertension who wish to conceive and for women who have had a pregnancy complicated by hypertension.

  • January 2011

    Two corrections have been made to the full version of this guideline as well as to the NICE version and the Quick Reference Guide.

    In the section Management of pregnancy with chronic hypertension 'and' has been changed to 'or' in the following recommendation (recommendation 1.2.1.1 in the NICE version). It now reads:

    Tell women who take angiotensin-converting enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBs):

    • that there is an increased risk of congenital abnormalities if these drugs are taken during pregnancy
    • to discuss other antihypertensive treatment with the healthcare professional responsible for managing their hypertension, if they are planning pregnancy.

    In addition, 'chlorothiazide diuretics' has been changed to 'chlorothiazide' in recommendations 1.2.1.3 and 1.2.1.4 in the NICE guideline and throughout the full guideline. These changes have been made on pages 4 and 8 of the Quick Reference Guide. Implementation tools have also been updated.

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