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Lowering the thresholds of blood pressures in pregnancy, in line with the American College of Cardiology guidelines, has the potential to improve detection and outcomes for mother and baby
  1. Laura Austin
  1. Fiona Stanley Hospital, Murdoch, WA, Australia
  1. Correspondence to Laura Austin, Fiona Stanley Hospital, Murdoch, WA 6150, Australia; lauragaustin{at}gmail.com

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Commentary on: Reddy M, Rolnik DL, Harris K, et al. Challenging the definition of hypertension in pregnancy: a retrospective cohort study. Am J Obstet Gynecol 2020, Jan 16. doi:10.1016/j.ajog.2019.12.272. [Epub ahead of print].

Implications for practice and research

  • Evidence-based hypertensive thresholds need to be clear and consistent to ensure effective management of hypertension in pregnancy.

  • Further research is paramount in determining whether lowering the thresholds of blood pressures in pregnancy, in line with the American College of Cardiology guidelines, would improve detection and outcomes for mother and baby.

Context

Throughout routine antenatal care, blood pressure is used as a screening tool for preeclampsia and its associated adverse outcomes.1 In the non-pregnant setting, the American College of Cardiology now endorses lower hypertensive thresholds and it remains …

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Footnotes

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

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