What is the hypertension in pregnancy (HiP) clinic?
Based at St Thomas’ Hospital, the hypertension in pregnancy (HiP) clinic provides specialist obstetric and midwifery care to pregnant women with high blood pressure (hypertension) and women who are at high risk of having high blood pressure in pregnancy.
We want to improve your care by providing support, treatment and information during and after your pregnancy.
The HiP clinic team also aims to improve your care by providing guidance to hospital and community staff – see ‘Information for health care professionals’ below.
Information for women with hypertension in pregnancy
High blood pressure affects about one in ten pregnancies. You have been asked to come to the clinic because you already have high blood pressure or you have a higher risk of having blood pressure problems in your pregnancy.
Why you would be asked to see us
You may have been asked to see us because you have:
- an existing medical condition that means you are more likely to get high blood pressure
- high blood pressure diagnosed early in pregnancy
- protein in your urine or other kidney problems in this pregnancy.
What will happen at your appointment
At your appointments we will:
- ask you how you are feeling
- check on your baby’s well-being
- measure your blood pressure
- measure the protein in your urine
- take blood tests to check how your kidneys, liver and blood are working.
These tests help us to check that you and your baby are safe. We might recommend you have other tests or treatment.
At the HiP clinic we will get to know your individual needs. If your blood pressure is high, you will usually need to take tablets to treat it. We will work with you to plan your care and any treatment you need to keep you and your baby safe. The leaflets below give more information.
The HiP clinic
The HiP clinic runs on Wednesday afternoon between 2pm-5pm by appointment only.
Antenatal Clinic, 8th floor, North Wing, St Thomas’ Hospital
Appointment line: 020 7188 8001
The Maternity Assessment Unit runs HiP appointment slots on Monday and Thursday mornings.
Maternity Assessment Unit, 7th floor, North Wing, St Thomas’ Hospital.
Call 020 7188 1722/1723 and ask for a high blood pressure appointment slot.
For general advice call the maternity helpline
For general advice the maternity helpline is available Monday to Friday 10am–6pm, except bank holidays) on 020 7188 8760.
If you feel unwell or if you have blood pressure that is too high
Women who feel unwell or who have blood pressure that is too high should call ADU on 020 7188 1722/1723 for advice (available 8am-8pm Monday-Sunday, except Christmas day).
It is important to seek professional advice as soon as possible even if it is late at night. Out of hours women can call the Hospital Birth Centre on 020 7188 2973.
Information for health care professionals
Who should be referred to the HiP clinic?
Pregnant women <24+0 weeks with chronic hypertension:
- with SBP ≥ 140mmHg and/or DBP ≥ 90 mmHg
- who are currently on antihypertensive treatment
- who have been treated with antihypertensives outside of pregnancy or puerperium
- who have a diagnosis of chronic hypertension or chronic kidney disease.
Pregnant women who have booked late who meet above criteria.
Where can I get information about postnatal care?
Postnatal care pathway for women with hypertension in pregnancy (Word 45Kb)
This contains information about the woman’s initial postnatal management, what is needed for her transfer home and her ongoing monitoring and treatment.
Please also see the leaflet postnatal advice for women who have experienced hypertension (high blood pressure) in pregnancy. Information for women after pregnancy.