{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T12:56:41Z","timestamp":1778158601460,"version":"3.51.4"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T00:00:00Z","timestamp":1626048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Pregnant women with chronic hypertension are recommended to deliver at 36\u201339<jats:sup>6\/7<\/jats:sup>\u00a0weeks. The American College of Cardiology and American Heart Association in 2017 lowered the blood pressure cut\u2010off for stage I hypertension to 130\/80\u00a0mm\u00a0Hg.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a literature review on studies comparing elective induction of labor versus expectant management in pregnant women with chronic hypertension. In addition, we reviewed fetal and maternal outcomes in pregnant women with blood pressure of 120\u2013139\/80\u201389 or 130\u2013139\/80\u201389\u00a0mm\u00a0Hg.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found two randomized clinical trials and one retrospective observational study comparing elective delivery of pregnant women with chronic hypertension versus expectant management. The randomized trials favored expectant management and the observational study favored induction of labor. We found 15 retrospective cohort studies analyzing maternal and fetal outcomes in pregnant women with blood pressure cut\u2010off lower than 140\/90\u00a0mm\u00a0Hg. There was a consistent finding of increased risk of any hypertensive disorder of pregnancy, gestational diabetes mellitus, and small\u2010for\u2010gestational\u2010age neonate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Randomized clinical trials are needed to assess the appropriate timing of delivery for women with stage I hypertension with a blood pressure cut\u2010off of 130\/80\u00a0mm\u00a0Hg.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13794","type":"journal-article","created":{"date-parts":[[2021,6,23]],"date-time":"2021-06-23T18:55:06Z","timestamp":1624474506000},"page":"230-239","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Timing of delivery and blood pressure cut\u2010off in chronic hypertension during pregnancy: State of art and new proposals"],"prefix":"10.1002","volume":"157","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4152-0603","authenticated-orcid":false,"given":"Giovanni","family":"Sisti","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology New York Health and Hospitals\/Lincoln  Bronx NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2994-1093","authenticated-orcid":false,"given":"Antonio","family":"Schiattarella","sequence":"additional","affiliation":[{"name":"Department of Woman, Child and General and Specialized Surgery University of Campania  Naples Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maddalena","family":"Morlando","sequence":"additional","affiliation":[{"name":"Department of Woman, Child and General and Specialized Surgery University of Campania  Naples Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Corwin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology New York Health and Hospitals\/Lincoln  Bronx NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0b013e32835e0ef5"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003018"},{"key":"e_1_2_8_4_1","first-page":"80","article-title":"Hypertensive disorders in pregnancy current practice review","volume":"13","author":"Turner K","year":"2017","journal-title":"Curr Hypertens Rev"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.emc.2019.01.008"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003020"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000437382.03963.88"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003083"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.11.1243"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.10.878"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004245"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182255999"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.19.2560"},{"issue":"71","key":"e_1_2_8_14_1","first-page":"e13","article-title":"2017 ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Pr","volume":"2018","author":"Whelton PK","year":"1979","journal-title":"Hypertension"},{"key":"e_1_2_8_15_1","unstructured":"American College of Cardiology.New ACC\/AHA High Blood Pressure Guidelines Lower Definition of Hypertension [Internet]. 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