What should be monitored in patients with a history of hypertension during pregnancy?

In patients with a history of hypertension during pregnancy, it is crucial to monitor both maternal blood pressure and fetal growth. Hypertension can lead to significant maternal and fetal complications, such as preeclampsia or fetal growth restriction. Monitoring maternal blood pressure helps detect any early signs of worsening hypertension, which can pose risks to both the mother and the baby.

Additionally, assessing fetal growth is important as inadequate growth may indicate placental insufficiency or other complications associated with hypertension. Regular ultrasounds and measurements of fetal growth parameters can help healthcare providers intervene promptly if any issues arise.

While fetal heart rate, maternal weight gain, and fetal movements can provide valuable information, they do not encompass the comprehensive monitoring required for managing hypertension in pregnancy. Maternal blood pressure and fetal growth specifically address the critical concerns presented by hypertension and its potential impacts, making them the most relevant factors to monitor in this context.