What type of management is recommended for gestational hypertension?

• A. Only lifestyle changes
• B. Prophylaxis low-dose aspirin
• C. Surgical intervention
• D. Bed rest only

Answer: (B)

For gestational hypertension, the recommended management includes prophylactic low-dose aspirin, particularly for women at high risk of developing preeclampsia. This approach helps to reduce the risk of progression to more severe hypertensive disorders during pregnancy, which can lead to complications for both the mother and the fetus.

The use of low-dose aspirin is supported by evidence indicating its effectiveness in lowering blood pressure and preventing adverse outcomes associated with hypertensive disorders in pregnant women. It is particularly beneficial when started in the first trimester and continued throughout pregnancy for those individuals who have a higher risk due to factors such as a history of hypertension, obesity, or pregnancy-related complications in previous pregnancies.

In contrast, the other management options listed are not recommended as stand-alone treatments for gestational hypertension. While lifestyle changes can be beneficial for overall health, they are not sufficient on their own for managing gestational hypertension. Surgical interventions are typically not indicated for this condition unless severe complications arise. Similarly, bed rest is no longer considered an effective or necessary treatment for gestational hypertension and may have its own risks and downsides. Thus, prophylactic low-dose aspirin stands out as the best choice based on current guidelines and research.