Hypertension during Pregnancy: Diagnostic Tests

Obligatory medical device diagnostics.

  • Repeated blood pressure measurements, if necessary long-term blood pressure measurement (24-hour blood pressure measurement).
  • Cardiotocography (CTG; cardiac tone contraction recorder) – a procedure for simultaneous (simultaneous) registration and recording of the heartbeat rate of the unborn child and labor (Greek tokos) in the pregnant woman.
  • Abdominal ultrasonography (ultrasound examination of abdominal organs) – for basic diagnostics: fetometry (measuring the fetus in the womb with the help of medical ultrasound diagnostics; max. every 14 days), amount of amniotic fluid, placenta assessment.
  • Doppler sonography (ultrasound examination that can dynamically represent fluid flows (especially blood flow)) – measurement of blood flow patterns in the uterine arteries, as well as fetal blood flows in arteries and veins.
  • Funduscopy (ophthalmoscopy) – to rule out hemorrhage and/or retinal edema.

Blood pressure screening in early pregnancy.

  • A small increase in blood pressure at the end of early pregnancy (thresholds for hypertension to 120/80 mmHg) increases the risk of hypertensive disease in pregnancy: uMoM2b study (“Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be”): pregnant women who had slightly elevated blood pressure values of 120/80 to 129/80 mmHg at this term, 30.3% of cases later developed hypertensive disease in pregnancy.