SOMANZ guidelines for the management of hypertensive disorders of pregnancy 2014

• Published in: Australian & New Zealand journal of obstetrics & gynaecology Vol. 55; no. 5; pp. e1 - e29
• Main Authors: Lowe, Sandra A., Bowyer, Lucy, Lust, Karin, McMahon, Lawrence P., Morton, Mark, North, Robyn A., Paech, Michael, Said, Joanne M.
• Format: Journal Article
• Language: English
• Published: Australia Blackwell Publishing Ltd 01.10.2015
• Subjects: Adult; Antihypertensive Agents - therapeutic use; Blood Pressure Determination - methods; Disease Progression; Evidence-Based Medicine; Female; Gestational Age; guideline; Humans; hypertension; Hypertension, Pregnancy-Induced - diagnosis; Hypertension, Pregnancy-Induced - drug therapy; management; Monitoring, Physiologic - methods; Practice Guidelines as Topic; Pre-Eclampsia - diagnosis; Pre-Eclampsia - therapy; preeclampsia; Pregnancy; Pregnancy Outcome; Risk Assessment; Severity of Illness Index; Treatment Outcome; preeclampsia; management; hypertension; guideline; pregnancy
• ISSN: 0004-8666; 1479-828X; 1479-828X
• DOI: 10.1111/ajo.12399

This guideline is an evidence based, practical clinical approach to the management of Hypertensive Disorders of Pregnancy. Since the previous SOMANZ guideline published in 2008, there has been significant international progress towards harmonisation of definitions in relation to both the diagnosis and management of preeclampsia and gestational hypertension. This reflects increasing knowledge of the pathophysiology of these conditions, as well as their clinical manifestations. In addition, the guideline includes the management of chronic hypertension in pregnancy, an approach to screening, advice regarding prevention of hypertensive disorders of pregnancy, and discussion of recurrence risks and long term risk to maternal health. The literature reviewed included the previous SOMANZ Hypertensive Disorders of Pregnancy guideline from 2008 and its reference list, plus all other published National and International Guidelines on this subject. Medline, Cochrane Database of Systematic Reviews (CDSR), Cochrane Central Registry of Controlled Trials (CCRCT), National Institute for Health and Care Excellence (NICE) Evidence Search, and Database of s and Reviews of Effects (DARE) were searched for literature published between January 2007 and March, 2014.