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Method of Delivery

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  • Vaginal delivery considered unless c-section required 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

 

Reference Magee LA, Smith GN, Bloch C, et al. Guideline No. 426: Hypertensive Disorders of Pregnancy: Diagnosis, Prediction, Prevention, and Management. J Obstet Gynaecol Can. 2022;44(5):547-571.e1. doi:10.1016/j.jogc.2022.03.002

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