🩺 Gestational Hypertension: High-Risk — and Why “No Risk” Does Not Mean Safe

When we talk about gestational hypertension, we often focus on identifying high-risk women.

This is important but it is only part of the picture.

Yes, some women carry a higher baseline risk.

Women considered at higher risk include:

• First pregnancy

• Age over 35

• Obesity

• Family history of hypertension or preeclampsia

• Multiple pregnancy

• Pre-existing metabolic or vascular conditions.

These factors help us anticipate risk.

But they do not define the whole story.

🎯The critical point:

The absence of risk factors does not exclude gestational hypertension.

Many women who develop gestational hypertension:

 • Have no medical history

• Are young and healthy

• Have normal early-pregnancy blood pressure

• Do not fit the “high-risk” profile

Pregnancy itself is a physiological stress test.

It can unmask vascular vulnerability even in women who appear low-risk.

✌This is why: 

✔️ Blood pressure must be monitored in every pregnancy

✔️ Normal early readings do not guarantee ongoing safety

✔️ Follow-up protocols should not depend on risk labels alone.

👍Risk assessment guides care 

but surveillance protects outcomes.

Gestational hypertension is not a condition limited to “high-risk” women.

It is a possibility in any pregnancy.

Dr Rabab Cares

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