- if less than 20 weeks and blood pressure greater than 150/100, start antihypertensive medication in consultation with obstetrics. Mild hypertension should not be treated as it does not decrease adverse events.
- if greater than or equal to 20 weeks and blood pressure greater than 140/90, test urinalysis. If greater than 1+ protein in UA, patient has preeclampsia or associated complication (ecalmpsia, HELLP syndrome); check CBC, basic chemistries, LFTs, uric acid, d-dimer, fibrinogen, coags and consult OB.
Deak, T. and Moskovitz, J. "Hypertension and Pregnancy" Emerg Med Clin N Am. Nov 2012.