Management of patients with a diastolic blood pressure of 90 mmHg in the third trimester of pregnancy.
A retrospective study of 50 patients admitted to the Peninsula Maternity Hospital, Cape Town, with a diastolic blood pressure of 90 mmHg was carried out. Proteinuria and a serum urate level of 0,36 mmol/l or more were found to be risk factors in this group. It is suggested that these patients can be managed as outpatients if no proteinuria is present and the serum urate level is less than 0,36 mmol/l; they should be trained to test urine at home and should be followed up on a weekly basis. A small prospective study showed that home urine testing was both workable and satisfactory.
D001794:Blood Pressure; D003971:Diastole; D005260:Female; D006801:Humans; D006973:Hypertension / Q000097:blood / Q000628:therapy*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000097:blood / Q000628:therapy*; D011263:Pregnancy Trimester, Third; D011507:Proteinuria / Q000150:complications*; D011933:Reagent Kits, Diagnostic; D012189:Retrospective Studies; D012646:Self Administration; D014527:Uric Acid / Q000097:blood
D011933:Reagent Kits, Diagnostic; D014527:Uric Acid