When should hypertension be treated in pregnant women?

The rationale for treating hypertension in pregnant women is primarily centered on preventing complications that can arise from uncontrolled high blood pressure. The correct approach is to intervene when diastolic blood pressure is greater than 100 mmHg, or if there are signs of end-organ damage, which can include conditions like renal impairment, liver dysfunction, or evidence of cardiac issues. This threshold is based on guidelines that prioritize the safety of both the mother and the fetus, aiming to mitigate the risks of conditions such as preeclampsia or eclampsia.

Treating hypertension is crucial when it reaches this level, as higher blood pressure can lead to significant maternal and fetal morbidity and mortality. Management typically involves a careful selection of antihypertensive medications that have been proven safe for use during pregnancy. Addressing hypertension as soon as it reaches this threshold helps in monitoring blood pressure closely and taking preventive measures against potential acute complications that might arise during labor and delivery.

While there are instances where hypertension needs to be monitored more conservatively or may be treated at lower levels, the specific criteria of DBP over 100 mmHg or evidence of organ damage clearly highlights the need for aggressive intervention to safeguard maternal and fetal health.