Hypertension Maternity Assessment (442)

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Day Care will review these patients Monday to Friday, between 08.30 – 16.30 hours Patients attending with hypertension require urinalysis. If hypertension and proteinuria check FBC, U & Es, and LFT’s.

Note importance of Systolic Hypertension (SBP).

Medical review is required for the following:

  • BP ≥ 150/100mmHg
  • BP ≥ 140/90mmHg with proteinuria
  • ≥ 2+ proteinuria
  • Patients who are symptomatic i.e. Headache, visual disturbance, RUQ/epigastric pain or “just not feeling right”.
  • BP > 160/100mmHg – Immediate Review By Middle Grade Obstetrician – If for some reason this is not possible, page Consultant Obstetrician on call (office hours) or transfer patient to Labour Suite.
  • MAP ≥ 125 – Immediate Review By Middle Grade Obstetrician – If for some reason this is not possible, page Consultant Obstetrician on call (office hours) or transfer patient to Labour Suite.

Chart A - asymptomatic woman with no proteinuria

Chart A: Asymptomatic woman with no proteinuria

Chart B – woman with proteinuria

Chart B: Woman with proteinuria

Chart C – symptomatic woman & / or BP ≥160/100mmHg MAP ≥ 125mmHg

Chart C: Symptomatic woman & / or BP ≥160/100mmHg MAP ≥ 125mmHg

See Antenatal & Daycare Guideline – Hypertension for full information.

Editorial Information

Last reviewed: 16/08/2018

Next review date: 31/12/2022

Author(s): Julie Murphy.

Version: 2

Approved By: Obstetrics Clinical Governance Group

Document Id: 442