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