[CG] Hypertension, maternity assessment flowcharts

Warning

exp date isn't null, but text field is

Please report any inaccuracies or issues with this guideline using our online form

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.

Last reviewed: 16 August 2018

Next review: 01 August 2021

Author(s): Dr F Mackenzie Consultant Obstetrician, PRM on behalf of GGC Obstetric Guidelines Group

Version: 2

Approved By: Dr C Bain, Clinical Director, Obstetrics GGC