There are a wide variety of agents available for use, and orally administered antihypertensive agents can be used in standard doses in pregnancy (Table 2). First-line agents for nonsevere hypertension are methyldopa and labetalol, with nifedipine as second line, followed by others in third line.
What is the safest blood pressure medication during pregnancy?
Methyldopa has been used for decades to treat high blood pressure in pregnancy and it appears to be safe. Labetalol has been extensively studied and has become increasing prescribed in pregnancy. Labetalol is now commonly used as a first-line treatment choice.
Are any blood pressure medications safe during pregnancy?
Is it safe to take blood pressure medication during pregnancy? Some blood pressure medications are considered safe to use during pregnancy, but angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers and renin inhibitors are generally avoided during pregnancy.
Which antihypertensive drugs are contraindicated in pregnancy?
Both labetalol and methyldopa are considered safe for use in pregnant women,12,13 while angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARB) are contraindicated during all trimesters of pregnancy based on their potential teratogenic and fetotoxic effects,1 though this is …
Which of these antihypertensive drugs should be avoided in gestational hypertension?
Some commonly prescribed antihypertensive drugs are contraindicated or best avoided before conception and during pregnancy (Table 1 ). These include ACE inhibitors, angiotensin receptor antagonists, diuretics and most beta blockers.
Can you have a natural birth with high blood pressure?
As long as your blood pressure remains within target levels, you should be able to have a natural vaginal birth. If you have severe hypertension, your blood pressure will be monitored continually in labour. Your doctors may also recommend your baby be delivered using forceps or ventouse, or by caesarean section.
How can I lower my blood pressure naturally while pregnant?
Some ways to lower the risk of high blood pressure during pregnancy include:
- limiting salt intake.
- staying hydrated.
- eating a balanced diet that is rich in plant-based foods and low in processed foods.
- getting regular exercise.
- getting regular prenatal checkups.
- avoiding smoking cigarettes and drinking alcohol.
Can a woman with high blood pressure have a healthy pregnancy?
However, with good blood pressure control, you and your baby are more likely to stay healthy. The most important thing to do is talk with your health care team about any blood pressure problems so you can get the right treatment and control your blood pressure—before you get pregnant.
Why is lisinopril bad for pregnancy?
Exposure to ACE inhibitors such as lisinopril during the first trimester has been associated with fetal cardiac abnormalities, and exposure during the second and third trimesters has been associated with neonatal kidney failure and death.
What is chronic hypertension in pregnancy?
Chronic hypertension in pregnancy is defined by the American College of Obstetrics and Gynecology (ACOG) as blood pressure ≥140 mm Hg systolic and/or 90 mm Hg diastolic before pregnancy or, in recognition that many women seek medical care only once pregnant, before 20 weeks of gestation, use of antihypertensive …
Is amlodipine safe in pregnancy?
Amlodipine and Pregnancy
Amlodipine falls into category C. There are no good studies in pregnant women. Amlodipine should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. It is not known if amlodipine will harm your unborn baby.
Are beta blockers contraindicated in pregnancy?
Beta-blockers used to treat hypertension during the first trimester of pregnancy don’t appear to increase the risk that babies will be born with birth defects or cardiac malformations, according to an analysis of observational data on more than 18,000 women across five Nordic countries and the United States.
How much labetalol is safe during pregnancy?
The recommended starting oral dose of labetalol is 100 mg twice daily, and the dose can be increased by 100 mg twice daily every 2-3 days based on the response of the blood pressure. Usual maintenance doses are 200-400 mg twice daily.
What is the first drug of choice for hypertension?
The strongest body of evidence indicates that for most patients with hypertension, thiazide diuretics are the best proven first-line treatment in reducing morbidity and mortality.
What should a pregnant woman with high blood pressure eat?
Eat a healthy more whole grains and potassium-rich foods.
Go bananas on, well, bananas, but not just. Sweet potatoes, prunes, raisins, kidney beans, tomatoes and more are all high on potassium and can thus help you lower your blood pressure.
What causes high blood pressure in pregnancy?
There are several possible causes of high blood pressure during pregnancy. These include: being overweight or obese. not getting enough physical activity.