Table 1.

Summary of antihypertensive treatment for pre-pregnancy hypertension

Variable	Recommendation	Controversy
Medications	Methyldopa or labetalol	Diuretics
	Avoid ACE inhibitors
Blood-pressure goals	Women with mild-moderate hypertension and a normal BMI may choose to discontinue the use or reduce the doses of antihypertensive agents.	Specific blood-pressure levels for treatment and goal
Evaluation before pregnancy	Evaluate for secondary causesin presence of suggestivesymptoms or signs. In women with a history ofhypertension for severalyears, evaluate for target-organdamage, includingleft ventricular hypertrophy, retinopathy.
Supplementations		Calcium, antioxidants, low-dose aspirin (60 mg daily)
Lifestyle	Healthy body weight. Adequate sodium and potassium intake.	The dose of sodium or potassium intake

ACE denotes angiotensin-converting enzyme, BMI body mass index.