Question: Are women with chronic hypertension considered high-risk pregnancies?
Answer:
Yes. Because of poor placental vascular development and ongoing elevations of blood pressure, the pregnancy is at risk for intrauterine growth restriction, abruption, and stillbirth. From a maternal perspective, the patient may develop superimposed preeclampsia and all of the associated consequences.
Reference: American College of Obstetricians and Gynecologists: Chronic Hypertension in Pregnancy. ACOG Practice Bulletin No. 29. Obstet Gynecol 98:177-185, 2001.
