Moodley, J.Soma-Pillay, PriyaBuchmann, E.Pattinson, Robert Clive2020-09-072020-09-072019-09Moodley, 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-S16.0256-9574 (print)2078-5135 (online)10.7196/SAMJ.2019.v109i3.14104http://hdl.handle.net/2263/76064BACKGROUND: 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.en© 2019. Published by Health & Medical Publishing Group. This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0.Fetal deathNational guidelinesHypertensive disorders of pregnancy (HDP)Pre-eclampsiaMaternal deathSouth Africa (SA)Article