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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
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).
We use the best available evidence to develop recommendations that guide decisions in health, public health and social care. Published guidance on this topic (6) New guidance in the last 6 months (4)
Definitions of Hypertension – NICE (2019) Hypertension in pregnancy. Patient-centred care. The use of Aspirin in women who are at moderate and high risk of pre-eclampsia . Management of gestational Hypertension. Antenatal care . Fetal monitoring . Intrapartum care . Postnatal care. Follow up care . Management of pregnancy with pre-eclampsia.
2.0 Objective . To ensure a consistent and systematic approach to the care and XXXXXXXX of women with chronic hypertension, gestational hypertension, pre-eclampsia and eclampsia. . 3.0 Scope . This guideline applies to all medical and midwifery staff working on the maternity unit and in community. . 4.0 Main body of the document .
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.
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.
