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. 2023 Jun 13;30(4):289–303. doi: 10.1007/s40292-023-00582-5

Table 4.

Initiation of antihypertensive medication in pregnancy

Immediately

SBP ≥ 170 mm or DBP ≥ 110 mm Hg with symptoms

After 1–2 h of observation

SBP ≥ 170 mm Hg or DBP ≥ 110 mm Hg without symptoms

After 24–48 h of observation

SBP ≥ 140 mm Hg or DBP ≥ 90 mm Hg any time during pregnancy

 gestational hypertension (regardless of proteinuria)

 pre-existing hypertension with the superimposition of gestational hypertension

 hypertension with HMOD or symptoms any time during pregnancy (epigastric pain, visual disturbances, or severe headache)

SBP ≥ 150 mm Hg or DBP ≥ 95 mm Hg in all other circumstances

HMOD hypertensive mediated organ damage