Hypertensive women can get pregnant or, alternatively, hypertension can start in pregnancy. Hypertension in a pregnant woman can cause the fetus to grow slowly, and also lead to pre-eclampsia or eclampsia, which is life threatening. Monitoring of blood pressure in pregnancy is an essential part of antenatal care. Managing hypertension in pregnancy requires much experience, especially if there is proteinuria (pre-eclampsia/eclampsia). Health center staff must rely on hospital staff once pregnancy hypertension is diagnosed.