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Postpartum

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  • Measure BP @ peak postpartum BP (3-7 days postpartum)

  • Evaluate women w/ postpartum HTN for preeclampsia

    • HTN & preeclampsia can arise de novo postpartum

  • Consider continuing antiHTN tx postpartum

  • Treat severe postpartum HTN to keep BP <160 /110 mmHg in short term

    • Keep BP <140/90 mmHg in long term

  • Anti HTN 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

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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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