What is the recommended postnatal monitoring and treatment for women with chronic hypertension who have given birth?
In women with chronic hypertension who have given birth, it is recommended to measure blood pressure daily for the first two days after birth, at least once between day 3 and day 5 after birth as clinically indicated, and if antihypertensive treatment is changed after birth. Aim to keep blood pressure lower than 140/90 mmHg, continue antihypertensive treatment if required, offer a review of antihypertensive treatment 2 weeks after the birth with their GP or specialist, and stop taking methyldopa within 2 days after the birth and change to an alternative antihypertensive treatment. Women should also be offered a medical review 6-8 weeks after the birth with their GP or specialist as appropriate.