Table 3: Recommended treatment of severe hypertension in pregnancy

Treatment goal DPB 90-100 mm Hg (grade D)

First-line drugs Hydralazine (grade B)66-68 Labetalol (grade B)66,69,70 Nifedipine (grade B)67,71,72

Special indications (patient refractory to first-line drugs) Diazoxide (grade D) Sodium nitroprusside (grade D)

Caution Neuromuscular function and blood pressure should be closely monitored when using nifedipine + magnesium sulfate (grade D) Fetal heart rate should be monitored during acute treatment (grade D)

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