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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.
- Hypertension in pregnancy: pre-eclampsia
• Before 37 weeks: consider planned early birth in women...
- Hypertension in pregnancy: pre-eclampsia
Pre-eclampsia is a complex medical disorder associated with over 500,000 fetal and neonatal deaths and over 70,000 maternal deaths globally each year. Can deteriorate rapidly and without warning. Proteinuria is not mandatory for a diagnosis of pre-eclampsia. Rather, this is diagnosed by the presence of new hypertension after 20 weeks ...
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.
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.
• NICE states to offer placental growth factor (PlGF)-based testing to help rule out pre-eclampsia- This is not yet available at Barnsley NHS Foundation Trust. • A rise in Creatinine of more than 90 micromol/litre or more is the measurement used in Barnsley. • FullPIERS or PREP-S is not used in Barnsley
Guideline . Covers diagnosing and managing hypertension (high blood pressure), including preeclampsia, during pregnancy, labour and birth. Includes advice for women with hypertension who wish to conceive and women who have had a pregnancy complicated by hypertension.
