A 35-year-old primigravida at 38 weeks of gestational age has a blood pressure reading of 150/100 mm Hg obtained during a routine visit. Her baseline blood pressure during the pregnancy was 120/70 mm Hg. The patient denies any headache, visual changes, nausea, vomiting, or abdominal pain. Her repeat BP is 160/90 mm Hg, and urinalysis is negative for protein. Which of the following is the most likely diagnosis?
Explanation: Hypeension in pregnancy is defined as blood pressure of 140/90 mmHg or greater on at least two separate occasions that are 6 h or more apa. Gestational hypeension- maternal blood pressure reaches 140/90 mm Hg or greater for the first time during pregnancy, after 20 weeks and proteinuria is not present. Preeclampsia- blood pressure increases to 140/90 mm Hg after 20 weeks of gestation and proteinuria is present (300 mg in 24 h or 1+ protein or greater on dipstick). Eclampsia- is present when women with preeclampsia develop seizures. Chronic hypeension is defined as BP >140/90 mm Hg before pregnancy or diagnosed before 20 weeks of gestation, or hypeension first diagnosed after 20 weeks of gestation and persistent after 12 weeks postpaum.
Preeclampsia
Chronic hypeension with superimposed preeclampsia
Eclampsia
Gestational hypeension
Pregnancy induced Hypeension