Optimal Timing of Delivery for Pregnant Individuals With Mild Chronic Hypertension
( Obstet Gynecol . 2024;144(3):386–393. doi: 10.1097/AOG.0000000000005676) Chronic hypertension (cHTN) is a condition affecting pregnant women. These pregnancies are associated with higher risk of adverse events, including preterm birth, preeclampsia, and general poor outcomes for both the mother and neonate. There are differing opinions from clinicians on what the optimal timing is for deliveries in affected women. There is a recommendation from the American College of Obstetricians and Gynecologists (ACOG) that deliveries occur between 37 + 0 weeks and 39 + 6 of gestation. Often clinicians assisting with pregnancies experiencing complications recommend induction before the 39th week of gestation, but with cHTN, there does not seem to be a reduction of risk with such timing. Overall, additional research on the timing of delivery in mothers affected by cHTN is needed. This publication seeks to provide more evidence and support to clinicians assisting in decision making for such cases.
Authors
- Kelly S. Gibson (ORCID: https://orcid.org/0000-0001-8605-7064)
- Mounira Habli (ORCID: https://orcid.org/0000-0002-7712-3223)
- Scott M. Williams (ORCID: https://orcid.org/0000-0002-4835-9544)
- Jeff M. Szychowski (ORCID: https://orcid.org/0000-0002-1727-1662)
- Kim Boggess
- Joanne N. Quiñones (ORCID: https://orcid.org/0000-0001-9762-7595)
- Heather A. Frey (ORCID: https://orcid.org/0000-0002-9244-0745)
- Marc R. Parrish (ORCID: https://orcid.org/0000-0001-9991-3042)
- BL Hughes
- Baha M. Sibai (ORCID: https://orcid.org/0000-0001-9982-7873)
- Rachel Sinkey (ORCID: https://orcid.org/0000-0001-7674-9796)
- Giancarlo Mari (ORCID: https://orcid.org/0000-0002-4615-6356)
- GR Saade
- Sherri Longo (ORCID: https://orcid.org/0000-0003-4781-7037)
- David S. McKenna (ORCID: https://orcid.org/0000-0002-6695-390X)
- Gabriella Pridjian
- Todd Rosen (ORCID: https://orcid.org/0000-0001-5810-5129)
- Eugene B. Chang (ORCID: https://orcid.org/0000-0001-5972-8248)
- R. Librizzi
- Namasivayam Ambalavanan (ORCID: https://orcid.org/0000-0003-0731-9092)
- David M. Haas (ORCID: https://orcid.org/0000-0002-8379-0743)
- Brian M. Casey (ORCID: https://orcid.org/0000-0001-5452-3761)
- Kjersti Marie Aagaard (ORCID: https://orcid.org/0000-0002-2960-0371)
- Lorie M. Harper (ORCID: https://orcid.org/0000-0003-0132-2194)
- Iris Krishna (ORCID: https://orcid.org/0000-0002-6683-8354)
- Dotun Ogunyemi (ORCID: https://orcid.org/0000-0002-4560-0611)
- EJ Su
- A Palatnik
- Janelle Foroutan (ORCID: https://orcid.org/0000-0002-4758-0028)
- Daniel Skupski
- KE Lawrence (ORCID: https://orcid.org/0000-0002-2453-1485)
- Lauren A. Plante
- Wendy Kinzler (ORCID: https://orcid.org/0000-0002-4665-1146)
- Alan Tita (ORCID: https://orcid.org/0000-0002-7244-9056)
- Kara K. Hoppe (ORCID: https://orcid.org/0000-0001-7431-2259)
- Hsing‐Tao Kuo (ORCID: https://orcid.org/0000-0002-5841-974X)
- R.K. Edwards
- Susan Baker (ORCID: https://orcid.org/0000-0002-5616-4157)
- Nga Thi Viet Nguyen (ORCID: https://orcid.org/0000-0002-5975-5964)
- UM Reddy
- Lorraine Dugoff (ORCID: https://orcid.org/0000-0003-3638-036X)
- Leonardo Pereira (ORCID: https://orcid.org/0000-0002-5878-5088)
- MK Hoffman
- Methodius Gamuo Tuuli (ORCID: https://orcid.org/0000-0002-2696-3302)
- Yasser Y. El‐Sayed
- Sean Esplin
- Joseph Bell
- ME Norton
- Michelle Owens
- HN Simhan
- E. F. Magann
- TD Metz
- Phyllis August
- ZS Galis
Institutions
- University of Utah (US)
Publication Details
- Journal
- Obstetric Anesthesia Digest
- Published
- 2025-05-24
- DOI
- https://doi.org/10.1097/01.aoa.0001113116.76046.0f
- Primary Topic
- Pregnancy and preeclampsia studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00