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•NICE guideline (DG23) PlGF-based testing to help diagnose suspected pre-eclampsia (Triage PlGF test, Elecsys immunoassay sFlt-1/PlGF ratio, DELFIA Xpress PlGF 1-2-3 test, and BRAHMS sFlt-1 Kryptor/BRAHMS PlGF plus Kryptor PE ratio).
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.
• Before 37 weeks: consider planned early birth in women with severe pre-eclampsia. • After 37 weeks: initiate birth within 24 to 48 hours. • If planned early birth offer antenatal corticosteroids and magnesium sulfate if indicated, in line with the NICE guideline on preterm labour and birth.
NICE Guideline NG133 June 2019. HYPERTENSION IN PREGNANCY: DIAGNOSIS AND MANAGEMENT. 1.1 Reducing the risk of hypertensive disorders in pregnancy. 1.2 Assessment of proteinuria in hypertensive disorders of pregnancy. 1.3 Management of chronic hypertension in pregnancy. 1.4 Management of gestational hypertension. 1.5 Management of pre-eclampsia.
Women who develop severe pre-eclampsia and eclampsia. The guidance encompasses the principles within the NICE clinical guidance (NG133) hypertension in pregnancy: diagnosis and management, and NICE Quality Standard number 35 hypertension in pregnancy.
In line with the majority of international guidelines, a diagnosis of pre-eclampsia can be made when hypertension arises after 20 weeks’ gestation and is accompanied by one or more of the following signs of organ involvement:
