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Method of Delivery

  • Vaginal delivery considered unless c-section reqd for usual obstetric indications

    • Cervical ripening if vaginal delivery planned & cervix unfavourable

  • If gestational age not near term + fetal compromise: may benefit from emergency c-section

  • Continue anti-HTN Rx throughout L&D to keep SBP <160 mmHg & DBP<110 mmHg

  • Active mgt of 3rd stage w/ oxytocin

    • Do not use ergometrine if HDP



Adapted from SOGC Clinical Practice Guideline. Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy: Executive Summary. J Obstet Gynaecol Can 2014;36(5):416–438

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