An approach to hypertensive disorders in pregnancy for the primary care physician.

South African Family Practice : Official Journal of the South African Academy of Family Practice/Primary Care
Mergan Naidoo, Robert C Pattinson

Abstract

Hypertensive disorders in pregnancy (HDP) are a leading obstetric cause for maternal morbidity and mortality nationally as well as globally. The Saving Mothers is a report published every three years by the National Committee for Confidential Enquiry, which reports the trends in maternal deaths in South Africa. The last three Saving Mothers reports identified many gaps in the management of HDP and interventions to address these gaps were recommended. The recently published national guidelines on the management of HDP have highlighted approaches for the diagnosis, assessment and management of HDP. This article synthesises the national guidelines and provides approaches for the primary care physician working at the primary healthcare or the district hospital level. The algorithms provide easy clinical pathways once the correct assessment has been made.

References

Jun 15, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·G J HofmeyrA Atallah
May 20, 2011·Best Practice & Research. Clinical Obstetrics & Gynaecology·Tabassum FirozPeter von Dadelszen
Jun 14, 2014·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Laura A MageeUNKNOWN Canadian Hypertensive Disorders of Pregnancy Working Group
Aug 19, 2015·Best Practice & Research. Clinical Obstetrics & Gynaecology·Mergan Naidoo
Mar 18, 2016·Journal of Family Medicine and Primary Care·Rehana A SalamZohra S Lassi
Sep 20, 2016·American Journal of Obstetrics and Gynecology·Stéphanie RobergeEmmanuel Bujold
Jun 15, 2018·Hypertension·Mark A BrownUNKNOWN International Society for the Study of Hypertension in Pregnancy (ISSHP)
Sep 26, 2019·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Ireen T RamavhoyaLizzy M Netshikweta

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