Hypertensive Disorders of Pregnancy: A Systematic Review of International Clinical Practice Guidelines - PubMed
12 hours ago
- #systematic review
- #clinical practice guidelines
- #hypertensive disorders of pregnancy
- Systematic review updates a 2020 analysis of clinical practice guidelines (CPGs) for hypertensive disorders of pregnancy (HDPs).
- Searches conducted in EMBASE, MEDLINE, and Cochrane Central Register of Controlled Trials from January 2015 to January 2025.
- Included 23 CPGs (15 updates, 8 new) in English, Dutch, French, German, Norwegian, or Spanish.
- AGREE-II tool used for guideline assessment; half scored 'clinically useful', half 'useful with modifications'.
- Greater consistency in recommending antihypertensive treatment for non-severe hypertension in women with chronic hypertension.
- Improved guidance on maternal and fetal monitoring for preeclampsia risk or diagnosis.
- Aspirin dosage for preeclampsia prevention now more consistent (75-162 mg/d).
- Persistent inconsistencies in defining 'severe' preeclampsia, timing of birth for preterm preeclampsia, and aspirin specifics.
- Need for auditable standards and further research to address discrepancies and optimize pregnancy outcomes.