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Can blood pressure trajectories indicate who is at risk for developing hypertensive disorders of pregnancy?

Published:September 05, 2022DOI:https://doi.org/10.1016/j.ajogmf.2022.100741
      The prediction and prevention of hypertensive disorders of pregnancy (HDP) is of paramount importance for the reduction of adverse perinatal outcomes. Prenatal care involves the routine, serial measurement of maternal blood pressures (BPs) in an outpatient setting. Previous literature has shown that the BPs of patients with uncomplicated pregnancies tend to fall in the second trimester before rising again in the third, whereas the BPs of those who develop HDP do not follow this trajectory. However, these studies were mostly conducted in selected samples with BPs collected per research protocol.
      • Macdonald-Wallis C
      • Lawlor DA
      • Fraser A
      • May M
      • Nelson SM
      • Tilling K.
      Blood pressure change in normotensive, gestational hypertensive, preeclamptic, and essential hypertensive pregnancies.
      ,
      • Hauspurg A
      • Parry S
      • Mercer BM
      • et al.
      Blood pressure trajectory and category and risk of hypertensive disorders of pregnancy in nulliparous women.
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