Screening and surveillance of pregnancy hypertension--an economic approach to the use of daycare

Baillière's Clinical Obstetrics and Gynaecology
K Rosenberg, S Twaddle

Abstract

Frequent measurement of blood pressure is an accepted part of routine outpatient antenatal care. Women found to have mild hypertension may be further monitored for signs of progressive disease, while women with proteinuria or severe hypertension may be admitted for more intensive surveillance or treatment. In practice, the course and ultimate severity of this disorder are unpredictable and women with mild hypertension are frequently admitted. Recently, daycare has grown as an option for assessing women with hypertension as it offers the advantage of more extensive evaluation than is possible at an outpatient clinic and is widely assumed to be more cost-effective than conventional management. However, its use in obstetrics has not been subject to a formal economic appraisal. Such an evaluation is currently being carried out in two hospitals in Scotland, one of which uses daycare and inpatient admissions in the management of hypertension and one of which uses domiciliary midwife visits as well as hospital beds. Preliminary results suggest that the pregnancy outcome in terms of birthweight, gestation at delivery, admission to a special unit, etc., are the same in the two units for women with mild hypertension (diastolic 90-99 mmHg...Continue Reading

References

Jan 1, 1979·Age and Ageing·J P MacFarlaneJ C MacIntosh
Sep 1, 1978·Journal of Epidemiology and Community Health·R J PrescottC V Ruckley
Jan 10, 1987·British Medical Journal·E A Haworth, R Balarajan
Dec 1, 1988·The British Journal of Ophthalmology·M T Watts, J L Pearce
Feb 1, 1985·British Journal of Obstetrics and Gynaecology·D M CampbellR Carr-Hill
Jul 12, 1980·Lancet·M H HallI MacGillivray
Mar 1, 1984·Age and Ageing·M Hildick-Smith
Apr 1, 1981·British Journal of Obstetrics and Gynaecology·J L Thornton, P C Want
Feb 1, 1955·The Journal of Obstetrics and Gynaecology of the British Empire·T R NELSON
Feb 1, 1955·The Journal of Obstetrics and Gynaecology of the British Empire·T R NELSON

❮ Previous
Next ❯

Citations

Aug 25, 2012·Journal of Thrombosis and Thrombolysis·Lovejeet KaurKallur Nava Saraswathy
Sep 14, 1991·BMJ : British Medical Journal·S Twaddle, V Harper
Apr 19, 2005·BMC Pregnancy and Childbirth·UNKNOWN The Perinatal Antiplatelet Review of International Studies (PARIS) Collaboration Steering Group on behalf of the PARIS Colla, UNKNOWN The PARIS Collaboration
May 18, 1991·Lancet
May 26, 2009·Seminars in Perinatology·Lelia Duley
Dec 14, 2011·Tropical Medicine & International Health : TM & IH·Paul ConradMalabika Sarker
Mar 15, 2005·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·J Moodley, S S Gwababa
Apr 12, 2011·Best Practice & Research. Clinical Obstetrics & Gynaecology·Laura A MageeA Kathirgamanathan
Oct 22, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·Moneli GolaraAndrew H Shennan
Jan 9, 2004·British Medical Bulletin·Lelia Duley
Oct 1, 2003·Hypertension·Jane E RamsayNaveed Sattar
Sep 14, 1991·BMJ : British Medical Journal
Sep 14, 1991·BMJ : British Medical Journal·M HuengsbergJ Welch
Jun 1, 1992·British Journal of Obstetrics and Gynaecology·S Twaddle, V Harper
Mar 1, 1997·British Journal of Obstetrics and Gynaecology·M GuptaM de Swiet
Oct 13, 2009·The Cochrane Database of Systematic Reviews·Therese DowswellAndrew Weeks
Sep 10, 2019·Journal of Biosocial Science·Ashish Kumar UpadhyaySwati Srivastava
Mar 6, 2009·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Yealin ChungAndrew Shennan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Australian & New Zealand Journal of Obstetrics & Gynaecology
Susan WalkerJohn Higgins
Hypertension Research : Official Journal of the Japanese Society of Hypertension
Enrica AngeliFabio Angeli
International Journal of Obstetric Anesthesia
J Reidy, R Russell
© 2021 Meta ULC. All rights reserved