What are the recommendations for screening hypertensive disorders during pregnancy?

### Recommendations for Screening Hypertensive Disorders During Pregnancy The U.S. Preventive Services Task Force recommends that doctors screen for hypertensive disorders of pregnancy, which can cause serious and fatal complications for both the mother and baby. All pregnant individuals should have their blood pressure measured at each prenatal visit to identify and prevent serious health issues. This recommendation includes screening for all hypertensive disorders of pregnancy, such as gestational hypertension, preeclampsia, eclampsia, and chronic hypertension with or without superimposed preeclampsia. Hypertensive disorders during pregnancy can lead to complications like stroke, retinal detachment, organ damage, seizures, and issues for the baby such as restricted growth, low birth weight, and stillbirth. These complications may also result in early labor induction, C-section, and preterm birth. The rate of hypertensive disorders of pregnancy has increased in recent decades. The task force provides a 'grade B' recommendation for healthcare professionals to offer or provide screening for these disorders, meaning that blood pressure measurements have substantial net benefit. Risk factors include a history of eclampsia or preeclampsia, family history of preeclampsia, previous adverse pregnancy outcomes, gestational diabetes, chronic hypertension, multiple pregnancies, first pregnancy, high body mass index before pregnancy, and being 35 years or older. Black, American Indian, and Alaska Native people face higher risks and are more likely to experience and die from these disorders. Management strategies for diagnosed hypertensive disorders of pregnancy include close fetal and maternal monitoring, anti-hypertension medications, and magnesium sulfate for seizure prevention. Some pregnant individuals may also be considered for low-dose aspirin to prevent preeclampsia. Future research is needed to determine the best approaches for blood pressure monitoring during pregnancy and postpartum, address health inequities, increase access to care through telehealth services, and reduce heart-related complications later in life for those diagnosed with hypertensive disorders of pregnancy.