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MS WordPerinatologist Corner - C.E.U/C.M.E. Modules
Hypertension in Pregnancy
Sponsored by The Indian Health Service Clinical Support Center
Part 3: Gestational Hypertension and Chronic Hypertension in Pregnancy
2. Case Scenarios
Scenario #1
Eula Whistling Elk is a 36 y/o G4P3 at 11 weeks gestation who presents for her first prenatal visit. Three years ago she was diagnosed with essential hypertension and is currently taking lisinopril 20 mg daily. She has had three prior vaginal deliveries of normal size infants. She had preeclampsia with her first pregnancy and labor was induced. What constitutes appropriate management and counseling of this patient?
Scenario #2
Agnes Many Goats is a 28 y/o G2P1 at 29 weeks gestation who has a history of chronic hypertension. She discontinued her beta-blocker as soon as she discovered she was pregnant. Her first pregnancy two years ago was complicated by severe preeclampsia and she required induction at 34 weeks, delivering vaginally a small-for-dates infant who has subsequently done well. What constitutes appropriate management and counseling of this patient?
Scenario #3
Dena Chevenak is a 29 y/o G2P1 at 35 weeks gestation who has had an uneventful pregnancy to date. Her first pregnancy was delivered vaginally at term without complications. At today's visit you find that her weight is 188 pounds, height 66 inches, BP 148/92. What constitutes appropriate management and counseling of this patient?
