Greenberg VR, Silasi M, Lundsberg LS, et al. - Researchers conducted a retrospective cohort study including 18,801 women with singletons from 2013-2019 with the aim to ascertain if raised blood pressure and stage 1 hypertension as newly defined by the 2017 American College of Cardiology/American Heart Association (ACC/AHA) guidelines is linked with an elevated risk of hypertensive disorders of pregnancy and other adverse maternal and neonatal outcomes. Among these women, 13,478 (71.7%) were normotensive, 2,659 (14.1%) had raised blood pressure, 1,384 (7.4%) were stage 1 hypertensive and 1,280 (6.8%) were chronic hypertensive. Per outcomes, raised blood pressure and stage 1 hypertension, using the 2017 ACC/AHA guideline definition, are linked with raised maternal and neonatal risk. They emphasize further investigating this group of women to ascertain if pregnancy management can be modified to decrease maternal and neonatal morbidity.