GuidelineCurrent
ACOG PB 222 — ACOG Practice Bulletin No. 222: Gestational Hypertension and Preeclampsia
ACOG, 2020
Magnesium sulfate is recommended for the prevention and treatment of seizures in women with preeclampsia with severe features or eclampsia. Immediate antihypertensive therapy (IV labetalol, hydralazine, or nicardipine) is indicated within 30–60 minutes for persistent SBP >= 160 mmHg or DBP >= 110 mmHg.
Strong recommendationHigh certainty
View source guidelineClinical Context & Relevant Topics (3)
Disease ReferenceObstetric Critical Care
Maternal physiology, preeclampsia/eclampsia, HELLP vs AFLP, postpartum hemorrhage (MTP/TXA), peripartum cardiomyopathy, and arrest.
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Hypertensive Emergencies
Target organ damage assessment, intravenous antihypertensive titration, and emergency-specific blood pressure targets.
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Status Epilepticus
Recognition and time-sensitive escalation of care for prolonged or repeated seizures.
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