Hypertension in pregnancy: Do consensus statements make a difference?

Davis, GK; Homer, CSE; Brown, MA

Hypertension in pregnancy: Do consensus statements make a difference?

Davis, GK Homer, CSE

Brown, MA

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Publication Type:: Journal Article
Citation:: Australian and New Zealand Journal of Obstetrics and Gynaecology, 2002, 42 (4), pp. 369 - 373
Issue Date:: 2002-10-01

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Field	Value	Language
dc.contributor.author	Davis, GK	en_US
dc.contributor.author	Homer, CSE https://orcid.org/0000-0002-7454-3011	en_US
dc.contributor.author	Brown, MA	en_US
dc.date.issued	2002-10-01	en_US
dc.identifier.citation	Australian and New Zealand Journal of Obstetrics and Gynaecology, 2002, 42 (4), pp. 369 - 373	en_US
dc.identifier.issn	0004-8666	en_US
dc.identifier.uri	http://hdl.handle.net/10453/4435
dc.description.abstract	Objectives. (i) To document variation in management of hypertension in pregnancy; (ii) to determine whether this variation falls within current management guidelines; and (iii) to make recommendations for developing future guidelines. Design. Questionnaire-based survey. Setting. Australia and New Zealand. Population. All specialist obstetricians. Methods. Questionnaires were sent to 1198 obstetricians in Australia and New Zealand. Those returned by respondents currently in obstetric practice were analysed. Information was obtained on their current clinical practices relating to the diagnosis and management of hypertension in pregnancy. Results. Of 1198 obstetricians surveyed, 973 (81%) replied. Of these, 686 (71%) were responsible for obstetric care. Considerable variation in practice was found, particularly in relation to the measurement of blood pressure, the determination of hypertension and significant proteinuria, and the decision to institute antihypertensive drug treatment. The recommendations of the Australasian 1993 Consensus Statement appeared to have had little influence on practice. There has been a striking increase in the use of magnesium sulphate for the prevention of convulsions in preeclampsia. Conclusions. There is significant variation in management of hypertensive pregnancies that differs from current guidelines. It is not known whether this diversity adversely affects clinical outcomes. Until further outcome evidence is available, consensus statements may be better confined to basic aspects of management for which there is high level evidence.	en_US
dc.relation.ispartof	Australian and New Zealand Journal of Obstetrics and Gynaecology	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Proteinuria	en_US
dc.subject.mesh	Pre-Eclampsia	en_US
dc.subject.mesh	Prenatal Care	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Blood Pressure	en_US
dc.subject.mesh	Consensus Development Conferences as Topic	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Gestational Age	en_US
dc.subject.mesh	Guideline Adherence	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	New Zealand	en_US
dc.subject.mesh	Practice Guidelines as Topic	en_US
dc.subject.mesh	Practice Patterns, Physicians'	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	Hypertension in pregnancy: Do consensus statements make a difference?	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	42	en_US
utslib.for	111717 Primary Health Care	en_US
utslib.for	111006 Midwifery	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	42	en_US

Abstract:

Objectives. (i) To document variation in management of hypertension in pregnancy; (ii) to determine whether this variation falls within current management guidelines; and (iii) to make recommendations for developing future guidelines. Design. Questionnaire-based survey. Setting. Australia and New Zealand. Population. All specialist obstetricians. Methods. Questionnaires were sent to 1198 obstetricians in Australia and New Zealand. Those returned by respondents currently in obstetric practice were analysed. Information was obtained on their current clinical practices relating to the diagnosis and management of hypertension in pregnancy. Results. Of 1198 obstetricians surveyed, 973 (81%) replied. Of these, 686 (71%) were responsible for obstetric care. Considerable variation in practice was found, particularly in relation to the measurement of blood pressure, the determination of hypertension and significant proteinuria, and the decision to institute antihypertensive drug treatment. The recommendations of the Australasian 1993 Consensus Statement appeared to have had little influence on practice. There has been a striking increase in the use of magnesium sulphate for the prevention of convulsions in preeclampsia. Conclusions. There is significant variation in management of hypertensive pregnancies that differs from current guidelines. It is not known whether this diversity adversely affects clinical outcomes. Until further outcome evidence is available, consensus statements may be better confined to basic aspects of management for which there is high level evidence.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/4435