Previous studies have suggested that NSAID use causes an increase in blood pressure. Further,
blood pressure elevation has been noted in women with pregnancy related hypertensive disease
during the postpartum period. NSAIDs remain part of standard postpartum care in women with
hypertensive disease. The objective of this study is to determine whether postpartum standard
care withholding NSAID use is associated with a clinically significant reduction in
postpartum hypertension in women with pregnancy induced hypertension. The investigators
hypothesize that women with pregnancy induced hypertensive disease will be half as likely to
have blood pressure elevation of 150/100 mmHg in the first 24 hours postpartum.
This study is an open label randomized trial of women with antepartum hypertension. Women
will be randomized to receive standard postpartum care or standard postpartum care without
NSAIDs. Blood pressure measurements and patient outcomes will be recorded. The study period
will begin at the time of delivery and will end at the time of hospital discharge.