Should a pregnant woman with a blood pressure of 140/95 mmHg take antihypertensive medication?

Apr 07, 2025 Source: Cainiu Health
Disease description:

I just found out I'm pregnant. During a prenatal checkup, my blood pressure was found to be 140/95 mmHg. I'm worried that taking medication might affect the baby, but I'm also concerned about the risks if my blood pressure doesn't come down. Should I take antihypertensive medication in this situation?

Doctor's answer (1)
Dr. Yang Ziqi

In general, whether a pregnant woman with a blood pressure of 140/95 mmHg needs to take antihypertensive medication depends on her specific condition. If the elevated blood pressure occurs only occasionally, medication may not be necessary. However, if the blood pressure remains consistently at this level, treatment with medication is recommended.

If the elevated blood pressure occurs only occasionally and the pregnant woman does not experience other significant symptoms such as headache, blurred vision, or shortness of breath, non-pharmacological approaches may be initially recommended to control blood pressure, including dietary modifications, increased physical activity, adequate sleep, and avoiding excessive fatigue.

However, if the pregnant woman's blood pressure remains consistently at or above this level, or if she experiences notable symptoms, antihypertensive medication under a doctor's guidance should be considered. When selecting antihypertensive drugs, special attention must be given to the safety of the medication and its potential effects on both the mother and the fetus, ensuring no adverse impact on either.

Pregnant women should actively participate in their health management, maintain a healthy lifestyle, regularly monitor their blood pressure, and promptly report any abnormalities to their physician.