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Specific guidance for hypertensive pregnant women during the COVID pandemic has been provided in some jurisdictions 3 and has focused on provision of self-monitoring at home and virtual consultation whenever possible. While women with pre-eclampsia may be cared for as outpatients, they are still advised to attend face-to-face visits frequently 3. Regardless, key aspects of pregnancy-hypertension care must be provided for all hypertensive pregnant women and within the constraints of the current healthcare system.

Women with chronic hypertension are ideally suited for HBPM and may have practiced this before pregnancy. Women with gestational hypertension are also capable of undertaking HBPM 5. Second, UK government agencies have procured and validated BP monitors for purchase by hospitals, for domiciliary use by hypertensive pregnant women. It is unclear whether HBPM targets should be the same as those used in the clinical setting for either screening among previously normotensive women, whether they are at low or increased risk of pre-eclampsia or management among hypertensive women.

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