Risks of Pregnancy with Hypertension

• Hypertension can increase risks of complications such as preeclampsia, preterm birth, and growth restrictions for the baby.

Medication Considerations

• Spironolactone and Torsemide: Generally not recommended during pregnancy due to potential risks to the fetus.
• Metoprolol: May be used if benefits outweigh risks; consult your doctor.
• Amlodipine and Perindopril: Should be discontinued once pregnancy is detected due to potential fetal harm.

Importance of Preconception Counseling

• Consult a healthcare provider to discuss risks and adjust medications before planning pregnancy.
• Preconception tests and monitoring may be necessary to ensure safety.

Monitoring and Management During Pregnancy

• Close monitoring of blood pressure and health is essential.
• Adjustments in medication and lifestyle may be required to manage risks.

Recommendations

• Plan pregnancy under medical supervision.
• Do not stop or change medications without consulting your healthcare provider.