Hypertension in pregnancy

Majority of my discussions here will be based on my real life experiences in medical field,with the challenges faced in tackling them. 
In most cases I will spare medical jargons as much as I can,while I use some for clarity and follow up in episodes to come. 
Cases of elevated blood pressures are becoming very common,in my practise, anytime am on call I see at least 2per day! Which is a lot,although my hospital is a referral center for most smaller centers around. 
Most women book with blood pressure of about 90/60 mmhg, some can have booking blood pressure of 120/80mmhg,depending on a lot of factors. 
Normal BP is measured as (systolic/diastolic) eg90/60,if the systolic goes up to 30 from the initial reading, and the diastolic up to 15 from the initial measurement,we diagnose high BP in pregnancy. 
Note that any form of  sudden elevated blood pressure from above 20weeks is very significant and your doctor must take this serious, the presence of this and protein in your urine is know as PRE-ECLAMPSIA. 
In Nigeria surprisingly majority of our learned citizens still book for antenatal with the so called traditional birth attendants,this causes a sharp increase in the morbidity and mortality rate of pregnant women, despite the efforts of lagos state gorverment in Nigeria to provide the maternal and child complex in various local government areas. 
A case I will never forget is one I saw sometimes last year, when a very beautiful lady was rushed down to our center at 36weeks gestational age,with unrelenting seizures and restlessness,with spoons and all sorts in her mouth. She was brought by her learned husband and a traditional birth attendant with the husband's mother. 
So I asked the husband where was she booked for antenatal, I was told with a nurse that has a hospital(TBA). 
Probing further I asked the TBA what happened,to my greatest suprise she said "doctor the patient was fine oh,until 2wks ago she started complaining of headache,and i gave her chloroquine injection and paracetamol,she was fine, all for them to rush her to me tonight that she has convulsions". 
I gently asked her what was the blood pressure few weeks ago?her reply! "the BP was very fine, it was just 150/110?.i shouted jesus! 
In other words,the woman has advance form of pre-eclampsia called ECLAMPSIA.She was treated accordingly and the baby delivered via cesarean section, mother and baby discharged home after 3wks of special treatment. 
The lesson learnt from here is, all pregnant women should:

--register at a good center
--ask about your booking blood pressure,and keep tabs afterwards 
--ask about your urinalysis result for protein or others
--every headache is not malaria,tell your doctor about it
--pre-eclampsia is very common in pregnancy and nobody can predict who will have it or not
--don't let anyone coherse you into making decisions on your pregnancy, you and your spouse should make informed decision(from d above example,d mother in law did) 
--bringing out the baby by the fastest route is the best treatment once eclampsia sets in,no matter the age of the pregnancy.

--endeavour to keep tab on your normal blood pressure, even before pregnancy
--some anti hypertensives are useful in treating pre eclampsia,don't reject it when your doctors give you
--no matter where you book for antenatal,always ask questions,it's your right to know,not a favour.