36 yo, married, Chinese woman presenting at 40 weeks gestation

1. 35 yo married, Chinese, nulliparous woman presenting with non-proteinuric, hypertension at 36-40 weeks. One month ago the patient found that she has hypertension upon her regular hospital visits and the highest range of her blood pressure was found to be 144/69 mm Hg. She has no proteinuria. No lower lamb edema. As the patient has no abdominal pain, proteinuria, dizziness, blurred vision, the doctor suggested her of observation with rest and during the observation period the doctor observed her blood pressure to be between 128-144/69-90 mm Hg.

2. 35 yo married, Chinese, nulliparous woman presenting with non-proteinuric, hypertension at 36-40 weeks. One month ago the patient found that she has hypertension upon her regular hospital visits and the highest range of her blood pressure was found to be 144/69 mm Hg. She has no proteinuria. No lower lamb edema. As the patient has no abdominal pain, proteinuria, dizziness, blurred vision, the doctor suggested her of observation with rest and during the observation period the doctor observed her blood pressure to be between 128-144/69-90 mm Hg. 36 yo, married, Chinese woman presenting at 40 weeks gestation with a four weeks history of gestational hypertension. Physical examination confirms a fundal height of 39 cm , Ultrasound shows cephalic presentation with an estimated fetal weight of 4000 gm. The plan of management is ……

4. 383 eclamptic episodes confirmed 294 with clinical records Only 70/294 had measured high blood pressure ( > 160/110 mm) before the eclamptic fit BUT 227/294 had one or more antecedent symptoms including headache, etc

5. * *

8. 152/93 190/130 Automated Auscultated

11. Quinn, Lancet, 1996

12. In pre-eclampsia, always use auscultatory techniques of BP measurement – particularly in labour