What is the primary treatment of choice for managing hypertension during pregnancy?
Understand the Problem
The question is asking about the best treatment option for managing hypertension specifically in pregnant individuals, focusing on the pharmacological interventions available.
Answer
IV labetalol and hydralazine.
Intravenous (IV) labetalol and hydralazine are the primary treatments of choice for managing acute-onset, severe hypertension during pregnancy.
Answer for screen readers
Intravenous (IV) labetalol and hydralazine are the primary treatments of choice for managing acute-onset, severe hypertension during pregnancy.
More Information
Labetalol is a non-selective beta-blocker, which is favored due to its dual action on both beta and alpha receptors. Hydralazine is a vasodilator that helps relax blood vessels and improve blood flow, thus lowering blood pressure.
Tips
A common mistake is assuming methyldopa is the first line for severe cases, whereas it is generally used for chronic hypertension in pregnancy.
Sources
- Management of hypertension in pregnancy - PMC - PubMed Central - pmc.ncbi.nlm.nih.gov
- Treatment of hypertension in pregnant and postpartum patients - uptodate.com
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