Gestational hypertension is defined as permanent high blood pressure at rest during two measurements, in the last two hours, after 20th week of gestation in previously normotensive pregnant women (>140/90 mmHg). Hypertensive disorders are common complications in pregnancy. They can occur as a new disease or attach to chronic condition preexisting hypertension. The etiology of hypertensive syndrome is unknown. It is believed that the formation of hypertensive disease in pregnancy depends on many factors. Risk factors for preeclampsia are: family history, medical history preeclampsia, multiple twin pregnancy or triplet pregnancy, nulliparity at younger pregnant women in twenties or older than forty, obesity, presence of chronic diseases, and others. The hypertensive syndrome in pregnancy, regardless of whether it is primary or superimposed on the existing hypertension in pregnant women, is expressed in three clinical forms: preeclampsia, eclampsia and Heelp Syndrome. The symptoms that occur during this disease depend on the stage and severity of disease. The main symptoms are: hypertension, proteinuria and edema. As a diagnostic criterion, increase of systole 26 mmHg or diastolic of 15 mm Hg, is taken. The diagnosis of hypertension in pregnant women is usually made on the basis of well-taken medical history, after the inspection of pregnant women and blood pressure measurements.Treatment of hypertensive disease in pregnancy includes several methods. Treatment includes general measures and therapeutic measures. A midwife is a very important factor in the education for patients with hypertension. Her role is to inform the patient about lifestyle changes and to be a support during treatment. In order to increase efficiency in the care of patients with hypertension, it is essential that midwives develop cooperation with the patient in order to make her more easily accustomed to the lifestyle changes and to ensure that the patient understands the relationship between life habits and disease. It is necessary that the midwives affect the improvement of care, and with their knowledge prevent the occurrence of complications. Keywords: Hypertension, pregnancy, clinical forms of hypertension, midwife, health care.