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June 20, 2026Current Opinion in Obstetrics & Gynecology

Recent evidence supports targeting BP below 140/90 mmHg for chronic hypertension in pregnancy.

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Population

Pregnant women with hypertensive disorders of pregnancy (HDP) or chronic hypertension

Design

Review

Key result

Recent evidence supports treating chronic hypertension in pregnancy to a blood pressure target of less than 140/90 mmHg, though optimal thresholds for other hypertensive disorders remain controversial.

Authors

KRKylie RidleyCOCourtney Olson‐Chen

Discussion

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Overview

May guide BP targets in chronic hypertension in pregnancy; leaves optimal thresholds for other disorders unresolved pending trials.

Key Points

  • To analyze current evidence on the diagnosis, management, and prevention of hypertensive disorders in pregnancy.
  • Synthesis of recent evidence regarding diagnosis and treatment strategies for hypertensive disorders of pregnancy.
  • Discussion of blood pressure management thresholds and postpartum care initiatives.
  • Treatment of chronic hypertension should target a blood pressure below 140/90 mmHg.
  • Expanded diagnostic criteria for pre-eclampsia now include biomarkers for better risk stratification.
  • Postpartum management has significant gaps, highlighting the need for tailored referral clinics to address long-term cardiovascular risks.

Structured PICO

P
Population
Pregnant women with hypertensive disorders of pregnancy (HDP) or chronic hypertension
I
Intervention
Antihypertensive therapy targeting blood pressure < 140/90 mmHg and postpartum blood pressure management

Recent evidence supports treating chronic hypertension in pregnancy to a target BP of <140/90 mmHg and emphasizes postpartum management to reduce long-term cardiovascular risk.

Limitations

  • Significant gaps in evidence remain, particularly regarding the optimal thresholds for antihypertensive intervention and postpartum management strategies.
  • Significant gaps in evidence remain regarding optimal thresholds for antihypertensive intervention
  • Gaps in evidence regarding postpartum management strategies needed to mitigate long-term maternal adverse health outcomes

Cite This Study

Ridley et al. (2026) conducted a review in Hypertensive disorders of pregnancy (HDP). Antihypertensive intervention was evaluated. Recent evidence supports treating chronic hypertension in pregnancy to a blood pressure target of less than 140/90 mmHg, though optimal thresholds for other hypertensive disorders remain controversial.

synapsesocial.com/papers/6a3721e201fe431c2518894ahttps://doi.org/10.1097/gco.0000000000001128
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