Screening for Hypertensive Disorders of Pregnancy

Author:

,Barry Michael J.1,Nicholson Wanda K.2,Silverstein Michael3,Cabana Michael D.4,Chelmow David5,Coker Tumaini Rucker6,Davis Esa M.7,Donahue Katrina E.8,Jaén Carlos Roberto9,Li Li10,Ogedegbe Gbenga11,Rao Goutham12,Ruiz John M.13,Stevermer James14,Tsevat Joel9,Underwood Sandra Millon15,Wong John B.16

Affiliation:

1. Harvard Medical School, Boston, Massachusetts

2. George Washington University, Washington, DC

3. Brown University, Providence, Rhode Island

4. Albert Einstein College of Medicine, New York, New York

5. Virginia Commonwealth University, Richmond

6. University of Washington, Seattle

7. University of Maryland School of Medicine, Baltimore

8. University of North Carolina at Chapel Hill

9. University of Texas Health Science Center, San Antonio

10. University of Virginia, Charlottesville

11. New York University, New York, New York

12. Case Western Reserve University, Cleveland, Ohio

13. University of Arizona, Tucson

14. University of Missouri, Columbia

15. University of Wisconsin, Milwaukee

16. Tufts University School of Medicine, Boston, Massachusetts

Abstract

ImportanceHypertensive disorders of pregnancy are among the leading causes of maternal morbidity and mortality in the US. The rate of hypertensive disorders of pregnancy has been increasing from approximately 500 cases per 10 000 deliveries in 1993 to 1021 cases per 10 000 deliveries in 2016 to 2017.ObjectiveThe US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate the benefits and harms of screening for hypertensive disorders of pregnancy.PopulationPregnant persons without a known diagnosis of a hypertensive disorder of pregnancy or chronic hypertension.Evidence AssessmentThe USPSTF concludes with moderate certainty that screening for hypertensive disorders in pregnancy with blood pressure measurements has substantial net benefit.RecommendationThe USPSTF recommends screening for hypertensive disorders in pregnant persons with blood pressure measurements throughout pregnancy. (B recommendation)

Publisher

American Medical Association (AMA)

Subject

General Medicine

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