What are the diagnostic criteria for gestational hypertension according to the chapter?
Gestational hypertension is diagnosed by a systolic blood pressure of ≥140 mm Hg and/or a diastolic blood pressure of ≥90 mm Hg, measured on two occasions at least 4 hours apart, occurring after 20 weeks of gestation. It is characterized by the absence of proteinuria or other abnormal lab values and resolves by 6 weeks postpartum.
Gestational hypertension is defined by the onset of hypertension after 20 weeks of gestation in a previously normotensive individual. The diagnostic criteria include a systolic blood pressure of 140 mm Hg or higher and/or a diastolic blood pressure of 90 mm Hg or higher, confirmed by two separate measurements taken at least 4 hours apart. Unlike preeclampsia, gestational hypertension does not involve proteinuria or other systemic complications. The condition typically resolves within 6 weeks postpartum, distinguishing it from chronic hypertension, which predates pregnancy or persists beyond this period.
Key points
- Gestational hypertension occurs after 20 weeks of gestation.
- Diagnosed with systolic BP ≥140 mm Hg and/or diastolic BP ≥90 mm Hg.
- Requires two BP measurements at least 4 hours apart.
- No proteinuria or other abnormal lab values present.
- Resolves by 6 weeks postpartum.
Collins-Bride & Saxe’s Clinical Guidelines for Advanced Practice Nursing
Joo, Yoonmee;Gatewood, J. V.;Israel, Mary Anne M.;Wong McGrath, Kelly;
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