A 27-year primigravida presents with pregnancy induced hypeension with blood pressure of 140/ 100 mm of Hg at 32 weeks of gestation. If there are no complications, the pregnancy should be best terminated at:
A diagnosis of gestational hypeension is made when (1) maternal blood pressure is elevated to >= 140 mm Hg systolic or >= 90 mm Hg diastolic on 2 occasions 6 hours apa in a previously normotensive woman >= 20 weeks' gestation, and (2) there is no evidence of proteinuria. For the patient with mild gestational hypeension, fetal surveillance with ultrasound for fetal growth approximately once per month and weekly biophysical profiles can assess fetal well-being. Antihypeensives are not recommended in women with mild gestational hypeension, as they have not been shown to improve outcomes. Delivery is recommended at 39-40 weeks' gestation. Ref: Miller D.A. (2013). Chapter 26. Hypeension in Pregnancy. In A.H. DeCherney, L. Nathan, N. Laufer, A.S. Roman (Eds), CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e.
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37 completed weeks
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34 completed weeks