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Hypertension in pregnancy - Management
How should I assess a woman with new hypertension after 20 weeks' gestation?
- Check urine for protein (subsequent frequency of monitoring will be determined by secondary care). If available, use automated dipstick testing.
- Ask about symptoms of pre-eclampsia at presentation and each subsequent antenatal check.
- Severe headaches (increasing frequency unrelieved by regular analgesics).
- Vision problems, such as blurred vision, flashing lights, double vision, or floating spots.
- Persistent new epigastric pain or pain in the right upper quadrant.
- Vomiting.
- Breathlessness.
- Sudden swelling of the face, hands, or feet.
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