[2010, amended 2019] 1.3.20 Offer women with chronic hypertension a medical review 6 8 weeks after the birth with their GP or specialist as appropriate. [2010, amended 1.4 Management of gestational hypertension Assessment and treatment of gestational hypertension 1.4.1 In women with gestational hypertension, a full assessment should be carried out in a secondary care setting by a healthcare professional who is trained in the management of hypertensive disorders of pregnancy. 1.4.2 In women with gestational hypertension, take account of the following risk factors that require additional assessment and follow-up: nulliparity age 40 years or older pregnancy interval of more than 10 years family history of pre-eclampsia multi-fetal pregnancy BMI of 35 kg/m2 or more gestational age at presentation previous history of pre-eclampsia or gestational hypertension pre-existing vascular disease pre-existing kidney disease. 