Postpartum

Measure BP @ peak postpartum BP (3-6 days postpartum)
Evaluate women w/ postpartum HTN for preeclampsia
Consider continuing antiHTN tx postpartum
Treat severe postpartum HTN to keep SBP <160 mmHg & DBP <110 mmHg
Keep BP <140/90 mmHg in women w/ co-morbidities (consider tx in women w/o co-morbidities)
Keep BP <130/80 mmHg in women w/ pre-gestational DM
AntiHTN agents generally acceptable with breastfeeding:
- Nifedipine XL
- Labetalol
- Methyldopa
- Captopril, enalapril
No NSAIDs postpartum if HTN difficult to control, evidence of kidney dysfxn, or low plts
Consider postpartum thromboprophylaxis if preeclampsia

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