Lesson 1Choosing and citing guidelines: how to find and interpret major guidelines (e.g., ACOG, FIGO, WHO, SOGC, NICE) and selecting recommendations relevant to resource‑limited settingsThis part teaches how to find, check, and use big guidelines on high blood pressure in pregnancy, like ACOG, FIGO, WHO, SOGC, and NICE, and how to fit the advice to local resources and what the patient wants.
Finding good guideline sourcesUnderstanding how strong the evidence is in guidelinesComparing ACOG, FIGO, WHO, SOGC, NICEFitting guidance to places with few resourcesSorting out advice that doesn't matchWriting down and citing guideline useLesson 2Clinical history and risk factor assessment: prior obstetric history, antenatal visit gaps, symptoms (headache, visual changes, epigastric pain), medication and social factorsThis part details how to get a focused patient history for suspected high blood pressure problems, including past pregnancies, missed antenatal visits, key warning signs, medicines, and social issues that change risk and affect follow-up.
Main parts of past pregnancy historyNoting missed antenatal care and delaysAsking about headache and eye problemsChecking stomach or right side painReviewing medicines, including local herbsSocial, food, and substance use factorsLesson 3Urine and protein assessment: dipstick limitations, spot urine protein:creatinine ratio, 24‑hour urine protein indications and interpretationThis part explains ways to check protein in urine during pregnancy, pointing out limits of dipstick tests, when to use spot protein-creatinine ratio and 24-hour urine, how to read results, and how mistakes in timing and collection affect truth.
Right steps for midstream urine collectionLimits of dipstick tests and wrong resultsWhen to use spot protein-creatinine ratioReading protein-creatinine ratio numbersWhen to do 24-hour urine collectionCommon mistakes in 24-hour urine samplingLesson 4Blood pressure measurement technique and interpretation: clinic repeat measurements, ambulatory/home monitoring principles, thresholds for diagnosisThis part reviews right way to measure blood pressure in pregnancy, including choosing cuff, position, timing, repeat checks, and reading clinic and home values, with levels for diagnosis and common errors that can wrong the disease type.
Preparing patient and rest timeRight cuff size and arm positionKorotkoff sounds and reading bottom BPRepeat checks and average valuesBasics of home and walking BP monitoringDiagnosis levels and white-coat effectLesson 5Differential diagnoses for hypertension and proteinuria in pregnancy: urinary tract infection, renal disease, molar pregnancy, acute fatty liver, thrombocytopenia causesThis part reviews main other causes for high blood pressure and protein in urine in pregnancy, like urine infection, long or sudden kidney disease, molar pregnancy, sudden fatty liver, and big causes of low platelets that look like preeclampsia.
Telling long kidney disease apartUrine infection with high blood pressureSigns of molar pregnancy and GTDSudden fatty liver vs HELLP syndromeImmune and nonimmune low plateletsOther causes of high blood pressureLesson 6Targeted imaging: role and indications for obstetric ultrasound (fetal growth, amniotic fluid, placental assessment) and Doppler studiesThis part explains when and how to use special scans in high blood pressure pregnancy, focusing on pregnancy ultrasound for baby growth, fluid around baby, and placenta, and Doppler to check blood flow to placenta and baby and help decide delivery time.
When to do pregnancy ultrasoundChecking baby growth and measurementsLooking at fluid around babyPlacenta place and shapeUterine and umbilical artery DopplersUsing scans to decide delivery timeLesson 7Initial bedside and lab tests to confirm diagnosis: CBC, platelets, liver enzymes (AST/ALT), serum creatinine, uric acid, electrolytes, coagulation tests, blood type and antibody screenThis part covers key bedside and lab tests to confirm and stage high blood pressure problems, including full blood count, platelets, liver tests, creatinine, uric acid, salts, clotting profile, and blood type with antibody check, plus basic reading.
Bedside checks and vital signs reviewFull blood count and platelet readingLiver tests and liver problemsBlood creatinine and kidney testsUric acid and salt problemsClotting tests and blood type screeningLesson 8Pathophysiology and classification: chronic hypertension, gestational hypertension, preeclampsia with/without severe features, eclampsia, HELLP syndromeThis part outlines how high blood pressure problems in pregnancy happen and clears diagnosis rules for long high blood pressure, pregnancy high blood pressure, preeclampsia with or without bad signs, fits, and HELLP, stressing what it means for care.
Normal heart changes in pregnancyWrong placenta growth and vessel damageDefining long vs pregnancy high blood pressureRules for preeclampsia diagnosisBad signs and fit recognitionSigns of HELLP syndrome
