Pregnancy hypertension diagnosis and care in COVID-19 era and beyond.

Treat hypertension (BP >= 140/90 mmHg) with antihypertensive therapy Oral antihypertensive therapy halves the risk of severe hypertension (systematic review, 31 trials, 3485 women)[11], which is an outcome that warrants face-to-face assessment in all jurisdictions, even during the COVID-19 pandemic. BP control was achieved by a simple algorithm of up or down titration of antihypertensive medication (Figure 1), using single or multiple medications; in Figure 2, we provide practical advice and a protocol for dosing escalation from starting to maximum dosage and medication combinations. *If systolic BP is >= 160 mmHg, increase dose of existing medication or start new antihypertensive medication to get systolic BP < 160 mmHg, regardless of diastolic BP (dBP). In a systematic review of maternal risk stratification in pregnancy hypertension (32 studies), miniPIERS (Pre-eclampsia Integrated Estimate of Risk Score) was the only model for all pregnancy hypertension types[18]. [Extracted from the article]