{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T10:03:11Z","timestamp":1769508191040,"version":"3.49.0"},"reference-count":15,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2019,10,20]],"date-time":"2019-10-20T00:00:00Z","timestamp":1571529600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>The American College of Cardiology\/American Heart Association (ACC\/AHA) updated its guideline redefining the classification of hypertension and the blood pressure cut-off in 2017. The current cut-offs for stage 1 hypertension of 130 mm Hg systolic blood pressure or 80 mm Hg diastolic blood pressure replace the previous cut-offs of 140 mm Hg systolic blood pressure or 90 mm Hg diastolic blood pressure which were based on the ACC\/AHA guidelines from 1988. However, the blood pressure cut-off for the obstetric population still remains as 140\/90 mm Hg despite the scarcity of evidence for it. Recent American College of Obstetricians and Gynecologists (ACOG) bulletins for pregnant women have not reflected the new ACC\/AHA change of guideline. We reviewed a mounting body of evidence prompting the implementation of the new ACC\/AHA guidelines for the obstetric population. These studies examined maternal and fetal outcomes applying the new ACC\/AHA guidelines during antepartum or postpartum care.<\/jats:p>","DOI":"10.3390\/medicina55100703","type":"journal-article","created":{"date-parts":[[2019,10,21]],"date-time":"2019-10-21T03:40:29Z","timestamp":1571629229000},"page":"703","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Body of Evidence in Favor of Adopting 130\/80 mm Hg as New Blood Pressure Cut-Off for All the Hypertensive Disorders of Pregnancy"],"prefix":"10.3390","volume":"55","author":[{"given":"Giovanni","family":"Sisti","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9443-101X","authenticated-orcid":false,"given":"Belinda","family":"Williams","sequence":"additional","affiliation":[{"name":"St. George\u2019s University School of Medicine, True Blue, West Indies,  Grenada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2019,10,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists (2019). ACOG Practice Bulletin No. 203: Chronic Hypertension in Pregnancy. Obstet. Gynecol., 133, e26\u2013e50.","DOI":"10.1097\/AOG.0000000000003020"},{"key":"ref_2","unstructured":"American College of Obstetricians and Gynecologists (2019). ACOG Practice Bulletin No. 202: Gestational hypertension and preeclampsia. Obstet. Gynecol., 133, e1\u2013e25."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1038\/hr.2016.126","article-title":"Epidemiology of hypertensive disorders in pregnancy: Prevalence, risk factors, predictors and prognosis","volume":"40","author":"Umesawa","year":"2017","journal-title":"Hypertens Res."},{"key":"ref_4","first-page":"7","article-title":"Risk factors and effective management of preeclampsia","volume":"8","author":"English","year":"2015","journal-title":"Integr. Blood Press. 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Assoc."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1097\/AOG.0000000000002114","article-title":"Pregnancy-Related Mortality in the United States, 2011\u20132013","volume":"130","author":"Creanga","year":"2017","journal-title":"Obstet. Gynecol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1016\/j.ejogrb.2019.07.019","article-title":"New blood pressure cut off for preeclampsia definition: 130\/80 mmHg","volume":"240","author":"Sisti","year":"2019","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1097\/AOG.0000000000003045","article-title":"Maternal Outcomes Associated With Lower Range Stage 1 Hypertension","volume":"133","author":"Sisti","year":"2019","journal-title":"Obstet. Gynecol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"277.e1","DOI":"10.1016\/j.ajog.2019.06.031","article-title":"Blood pressure trajectory and category and risk of hypertensive disorders of pregnancy in nulliparous women","volume":"221","author":"Hauspurg","year":"2019","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1097\/AOG.0000000000002870","article-title":"Maternal Outcomes Associated With Lower Range Stage 1 Hypertension","volume":"132","author":"Sutton","year":"2018","journal-title":"Obstet. Gynecol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1161\/CIRCRESAHA.119.314682","article-title":"Impact of the 2017 ACC\/AHA Guideline for High Blood Pressure on Evaluating Gestational Hypertension-Associated Risks for Newborns and Mothers","volume":"125","author":"Hu","year":"2019","journal-title":"Circ. Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1038\/hr.2011.158","article-title":"Blood pressure measurements within the JNC7 pre-hypertensive range after 32 weeks of gestation are a risk factor for decreased fetal growth","volume":"35","author":"Fukushima","year":"2012","journal-title":"Hypertens Res."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1055\/s-0038-1669441","article-title":"Impact of the New American Hypertension Guidelines on the Prevalence of Postpartum Hypertension","volume":"36","author":"Smith","year":"2019","journal-title":"Am. J. Perinatol."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/55\/10\/703\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:27:59Z","timestamp":1760189279000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/55\/10\/703"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,20]]},"references-count":15,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2019,10]]}},"alternative-id":["medicina55100703"],"URL":"https:\/\/doi.org\/10.3390\/medicina55100703","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,20]]}}}