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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.
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.
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).
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)
This guideline outlines the management of women and birthing people with hypertension in pregnancy. There are different types of hypertensive conditions in pregnancy and their management is dependent on the diagnosis. The different hypertensive disorders are defined below and the guideline includes management for all of these conditions.
Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off-label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding.
Risk factors. Prognosis. Complications. Long-term health implications. Hypertension in pregnancy: Summary. Several different hypertensive disorders can complicate pregnancy. The National Institute for Health and Clinical Excellence (NICE) uses the following working definitions.
