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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.
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).
hypertensive disorders that occur during pregnancy present after 20 weeks gestation. New hypertension can occur without significant proteinuria (gestational hypertension) or with significant proteinuria (pre-eclampsia).
Pregnancy Guidelines (NICE, 2019). Chronic hypertension: Hypertension present at booking visit or before 20 weeks, or that is being treated at time of referral to maternity services.
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.
NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of-rights). Your responsibility. The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available.
