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Maternal hypertensive disorders of pregnancy contribute greatly to the risks for maternal mortality, severe maternal morbidity, and, specifically, stroke. Risk for intracranial hemorrhage can be lowered by timely treatment of severe hypertension, yet we know relatively little about hospital and provider performance regarding this practice. Investigators reviewed hospital discharge and medication records for >239,000 women with preeclampsia to determine patterns of medication use between 2006 and 2015.
The proportions of women with severe and superimposed preeclampsia relative to mild preeclampsia increased throughout the study period. Antihypertensive medication use rose from 38% to 49%, with oral labetalol, intravenous labetalol, hydralazin…