Patient's question:
I've been pregnant for a while, and I was diagnosed with gestational hypertension. I want to take medication for it.Doctor's answer:
It is necessary to strengthen prenatal examinations, control blood pressure, and closely monitor the fetus. If the blood pressure is high, ≥160/110 mmHg, antihypertensive drugs should be used during pregnancy to control blood pressure, especially before the 32nd week of gestation, which is a critical stage. Antihypertensive drugs should be selected to be harmless to the fetus, with nitrendipine generally being the first choice. Chronic hypertension complicated with pregnancy should be terminated before the due date. If the pregnant woman's blood pressure is below 150/100 mmHg, hospitalization for delivery can be considered after the 37th week of gestation. If the pregnant woman's blood pressure exceeds 150/110 mmHg, with poor placental function, restricted fetal growth and development, or preeclampsia, hospital treatment should be provided regardless of gestational age, with pregnancy termination after actively controlling blood pressure. Pregnant women who use antihypertensive drugs before or during pregnancy should continue to take them postpartum and undergo enhanced postpartum examinations to detect blood pressure changes promptly and adjust medication dosages accordingly.