Acute Hypertension in Pregnancy and Postpartum Algorithm

Publication Date: January 29, 2024
Last Updated: June 28, 2024


Complications from pregnancy can happen over the course of pregnancy, during delivery, and up to one year after the end of pregnancy. These complications, which include hypertensive emergencies such as preeclampsia, preeclampsia with severe features, and stroke, can be life-threatening. The Acute Hypertension in Pregnancy and Postpartum Algorithm aims to improve identification of patients and enhance readiness among emergency practitioners. This algorithm was developed by ACOG in partnership with specialty organizations and subject matter experts who play an integral role in training and educating clinicians in these settings.

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Acute Hypertension in Pregnancy and Postpartum Algorithm

Authoring Organization

Publication Month/Year

January 29, 2024

Last Updated Month/Year

June 28, 2024

Document Type


Country of Publication


Target Patient Population

People of reproductive age who can become pregnant

Target Provider Population

Emergency medicine practitioners in hospital-based emergency departments and standalone emergency rooms

Inclusion Criteria

Female, Adolescent, Adult

Health Care Settings

Ambulatory, Emergency care, Hospital, Medical transportation, Outpatient

Intended Users

Nurse, nurse practitioner, physician, physician assistant


Treatment, Management

Diseases/Conditions (MeSH)

D006973 - Hypertension, D011247 - Pregnancy, D046110 - Hypertension, Pregnancy-Induced


hypertension, pregnancy, preeclampsia, postpartum, Obstetric, obstetric emergency, hypertensive emergency

Source Citation

American College of Obstetricians and Gynecologists. Acute hypertension in pregnancy & postpartum algorithm. American College of Obstetricians and Gynecologists; 2023. Accessed June 17, 2024.