Management of Pre-existing
        Hypertension in Pregnancy

        Department of Obstetrics and Gynaecology
        Se also
        Hypertension
        Treatment of Preexcisting Hypertension
        Hypertension and sligth to moderate preeclamsia
        Treatment of Serverhypertension
        Treatment of Eclampsia
        Drug


        Woman on medication can often reduce their dose or discontinue medicine in early pregnancy.
        Woman on angiotensin-converting enzyme (ACE) inhibitors and Angiotensin II receptor blockers should discontinue them, as these drugs are teratogenic and may cause oligohydramnios, pulmonary hypoplasia, renal failure, renal tubular dysgenesis and hypotension and decrease skull ossification (hypocalvaria) and there is also a risk of intrauterine fetal death.
        The beta-blocker atenolol may be associated with growth restrictions and is not recommended for use in pregnancy.

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