Management of inpatient pregnant people with acute severe hypertension due to preeclampsia (systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥110 mmHg)*

Mean arterial pressure should not be reduced by more than 25% over two hours, systolic blood pressure should not be reduced below 130 mmHg, and diastolic blood pressure should not be reduced below 80 mmHg. Blood pressures in the range of 130 to 150/80 to 100 mmHg are ideal. During treatment, heart rate and blood pressure should be monitored closely. If delivery will not occur for days to weeks, maintenance therapy can be initiated, if required, with oral antihypertensive drugs. Refer to UpToDate content for additional information on treatment of hypertension in pregnancy.