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Cited by 210Pregnancy and preeclampsia studiesClinical practice guidelines implementationNeurological Complications and Syndromes

The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.

Hypertensive Disorders of Pregnancy: A Systematic Review of International Clinical Practice Guidelines

Open access
Gillon, Tessa E. R., Pels, Anouk, von Dadelszen, Peter, MacDonell, Karen, Magee, Laura A.·2014·PLoS ONE
DOI 10.1371/journal.pone.0113715PMC PMC4249974
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Abstract

BACKGROUND: Clinical practice guidelines (CPGs) are developed to assist health care providers in decision-making. We systematically reviewed existing CPGs on the HDPs (hypertensive disorders of pregnancy) to inform clinical practice. METHODOLOGY & PRINCIPAL FINDINGS: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Methodology Register, Health Technology Assessments, and Database of Abstracts of Reviews of Effects (Ovid interface), Grey Matters, Google Scholar, and personal records were searched for CPGs on the HDPs (Jan/03 to Nov/13) in English, French, Dutch, or German. Of 13 CPGs identified, three were multinational and three developed for community/midwifery use. Length varied from 3-1188 pages and three guidelines did not formulate recommendations. Eight different grading systems were identified for assessing evidence quality and recommendation strength. No guideline scored ≧80% on every domain of the AGREE II, a tool for assessing guideline methodological quality; two CPGs did so for 5/6 domains. Consistency was seen for (i) definitions of hypertension, proteinuria, chronic and gestational hypertension; (ii) pre-eclampsia prevention for women at increased risk: calcium when intake is low and low-dose aspirin, but not vitamins C and E or diuretics; (iii) antihypertensive treatment of severe hypertension; (iv) MgSO4 for eclampsia and severe pre-eclampsia; (v) antenatal corticosteroids at <34 wks when delivery is probable within 7 days; (vi) delivery for women with severe pre-eclampsia pre-viability or pre-eclampsia at term; and (vii) active management of the third stage of labour with oxytocin. Notable inconsistencies were in: (i) definitions of pre-eclampsia and severe pre-eclampsia; (ii) target BP for non-severe hypertension; (iii) timing of delivery for women with pre-eclampsia and severe pre-eclampsia; (iv) MgSO4 for non-severe pre-eclampsia, and (v) postpartum maternal monitoring. CONCLUSIONS: Existing international HDP CPGs have areas of consistency with which clinicians and researchers can work to develop auditable standards, and areas of inconsistency that should be addressed by future research.

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Research works printed but not linked: 6

  1. 2009, Multidisciplinary management of severe pre-eclampsia (PE). Experts’ guidelines 2008, Annales Francaises d Anesthesie et de Reanimation, 28(3), 275
  2. U Seeland, 2012, Cardiovascular diseases in pregnancy: facts of the new guideline, Deutsche Medizinische Wochenschrift, 137(31–32), 1568
  3. C Mounier-Vehier, 2005, Action to be taken when faced with arterial hypertension in a pregnant woman, Medecine Therapeutique - Cardio, 1(1), 65
  4. W Rath, 2009, Diagnostik und Therapie hypertensiver Schwangerschaftserkrankungen: Neue Ergebnisse für Praxis und Klinik, Deutsches Ärzteblatt, 106(45)
  5. LA Magee, 2014, Diagnosis, evaluation, and management of the hypertensive disorders of pregnancy: executive summary, J Obstet Gynaecol Can, 36(5), 416, 10.1016/S1701-2163(15)30588-0 · DOI
  6. JM Roberts, 2013, the American College of Obstetricians and Gynecologists’ Task Force on Hypertension in Pregnancy. Hypertension in Pregnancy, Obstetrics & Gynaecology, 122(5), 1122

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Metadata

Authors
Gillon, T. E. R., Pels, A., von Dadelszen, P., MacDonell, K., & Magee, L. A.
Affiliations
  • Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
  • Amsterdam UMC Location University of Amsterdam (NL)
  • University of British Columbia (CA)
  • College of Physicians and Surgeons of British Columbia (CA)
Corresponding author
Magee, Laura A.
ORCID
Venue
PLoS ONE
Publisher
Public Library of Science (PLoS)
Published
2014-12-01
Volume
9
Issue
12
Pages
e113715
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0113715
PMC
PMC4249974
OpenAlex
W2131408636
Cited by
210
References
43
Citations by year
2026: 8 · 2025: 12 · 2024: 12 · 2023: 10 · 2022: 21 · 2021: 16 · 2020: 28 · 2019: 21 · 2018: 21 · 2017: 23 · 2016: 21 · 2015: 17
FWCI
3.25
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • St George's Online Research Archive (St George's University of London) (acceptedVersion)
  • Research Portal (King's College London) (submittedVersion, cc-by)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
  • Health Sciences › Medicine › Clinical Neurology › Neurological Complications and Syndromes
Keywords
hypertensive disorders of pregnancy, guideline quality assessment, AGREE II, preeclampsia, gestational hypertension, eclampsia, magnesium sulfate, antihypertensive therapy, antenatal corticosteroids, timing of delivery, low-dose aspirin, calcium supplementation, guideline consistency
MeSH terms
Female, Humans, Pregnancy, Databases, Bibliographic, Practice Guidelines as Topic, Hypertension, Pregnancy-Induced

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