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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
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).
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.
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).
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.
NICE Guideline Template. National Institute for Health and Care Excellence. FINAL . Hypertension in pregnancy: diagnosis and management. Methods. NICE guideline NG133. Supplement 1. June 2019. FINAL. This methods chapter was developed by the National Guideline Alliance, hosted by the Royal College of Obstetricians and Gynaecologists. Methods.