Hypertensive disorders in pregnancy : 2019 national guideline

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Authors

Moodley, J.
Soma-Pillay, Priya
Buchmann, E.
Pattinson, Robert Clive

Journal Title

Journal ISSN

Volume Title

Publisher

Health and Medical Publishing Group

Abstract

BACKGROUND: Hypertensive disorders of pregnancy (HDP), including pre-eclampsia/eclampsia, account for significant maternal and fetal mortality globally and especially in South Africa. OBJECTIVE: To formulate clinical guidelines for the management of HDP in order to substantially reduce the number of maternal deaths from HDP. METHODS: The Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument was used to formulate the guidelines and included six domains: scope and purpose; stakeholder involvement; rigour and development; clarity of presentation; applicability; and editorial independence. RECOMMENDATIONS: The guideline stipulates management strategies for all levels of care where women with hypertensive disorders in pregnancy are seen. It also has a detailed implementation plan. CONCLUSION: A clinical guideline that is of practical value has been formulated by a wide group of stakeholders. It is hoped that its dissemination and implementation by all doctors and nurses will reduce mortality and morbidity associated with HDP.

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Keywords

Fetal death, National guidelines, Hypertensive disorders of pregnancy (HDP), Pre-eclampsia, Maternal death, South Africa (SA)

Sustainable Development Goals

Citation

Moodley, J., Soma-Pillay, P., Buchmann, E. et al. 2019, 'Hypertensive disorders in pregnancy: 2019 National guideline', South African Medical Journal, vol. 109, no. 9, Suppl 1, pp. S3-S16.