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25 cze 2019 · This guideline covers diagnosing and managing hypertension (high blood pressure), including pre-eclampsia, during pregnancy, labour and birth. It also includes advice for women with hypertension who wish to conceive and women who have had a pregnancy complicated by hypertension.
25 cze 2019 · Recommendations for research. As part of the 2019 update, the guideline committee made 6 research recommendations on the management of pregnancy with chronic hypertension, pre-eclampsia, fetal monitoring, the use of antihypertensives in breastfeeding and advice and follow-up.
To give an overview of the latest NICE guidance in relation to hypertensive disorders in pregnancy. Classifications of hypertension. Management recommendations. Prediction models and PlGF. High blood pressure in pregnancy (HDP) Affects 1:10 women. 140/90mmHg or more. 20% pre-existing (chronic) 80% de novo (gestational/pre-eclampsia)
Hypertensive disorders during pregnancy carry risks for the woman and remain a cause of maternal death. The mortality rate from hypertensive related causes has remained stable at 6 per 100,000 maternities in 2014-16 and 2017-19 (MBRRACE-UK, 2021).
Several different hypertensive disorders can complicate pregnancy. The National Institute for Health and Clinical Excellence (NICE) uses the following working definitions. Hypertension: diastolic blood pressure of 90–109 mmHg and/or systolic blood pressure of 140–159 mmHg.
Guidelines for prophylaxis against thromboembolic disease following caesarean section. Hypertension in Pregnancy. Trust ref: C37/2020. Contents. Introduction and who the guideline applies to: .......................................................................................... 2.
Management. Hypertension in pregnancy: Management. Last revised in May 2022. Scenario: Pre-eclampsia: Covers the identification and management of women who are at high risk of pre-eclampsia. Scenario: Pre-existing hypertension, or hypertension before 20 weeks: Covers the assessment and management of women with pre-existing chronic hypertension.
