Should women with high blood pressure in late pregnancy be hospitalized?

Patient's question:

My sister has been pregnant for 37 weeks and 3 days, entering her third trimester. Since she is a high-risk pregnant woman at the age of 35, her mental state is very poor. This morning, she suddenly said that her heartbeat felt a bit fast and she was a bit dizzy. Then I told her that her blood pressure was really high. Should she be hospitalized in the third trimester with high blood pressure?

Doctor's answer:

Older pregnant women and pregnant women with hypertension are at risk of developing preeclampsia in the late stages of pregnancy. Since your sister has both of these risk factors, the likelihood of her experiencing preeclampsia again is relatively high. She now needs to be hospitalized for close monitoring. During the hospital stay, her blood pressure and fetal heart rate need to be monitored regularly. If any abnormalities are detected, early termination of pregnancy and cesarean delivery should be considered to safely remove the fetus. This approach is the safest decision for both the mother and the baby.

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