A summary of the 2023 Society of Obstetric Medicine of Australia and New Zealand (SOMANZ) hypertension in pregnancy guideline

Renuka Shanmugalingam, Helen L. Barrett, Amanda Beech, Lucy Bowyer, Tim Crozier, Amanda Davidson, Marloes Dekker Nitert, Kerrie Doyle, Luke Grzeskowiak, Nicole Hall, Hicham Ibrahim Cheikh Hassan, Annemarie Hennessy, Amanda Henry, David Langsford, Vincent W.S. Lee, Zachary Munn, Michael J. Peek, Joanne M. Said, Helen Tanner, Rachel TaylorMeredith Ward, Jason Waugh, Linda L.Y. Yen, Ellie Medcalf, Katy J.L. Bell, Deonna Ackermann, Robin Turner, Angela Makris

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Abstract

Introduction: Hypertensive disorders of pregnancy (HDP) affect up to 10% of all pregnancies annually and are associated with an increased risk of maternal and fetal morbidity and mortality. This guideline represents an update of the Society of Obstetric Medicine of Australia and New Zealand (SOMANZ) guidelines for the management of hypertensive disorders of pregnancy 2014 and has been approved by the National Health and Medical Research Council (NHMRC) under section 14A of the National Health and Medical Research Council Act 1992. In approving the guideline recommendations, NHMRC considers that the guideline meets NHMRC's standard for clinical practice guidelines. 

Main recommendations: A total of 39 recommendations on screening, preventing, diagnosing and managing HDP, especially preeclampsia, are presented in this guideline. Recommendations are presented as either evidence-based recommendations or practice points. Evidence-based recommendations are presented with the strength of recommendation and quality of evidence. Practice points were generated where there was inadequate evidence to develop specific recommendations and are based on the expertise of the working group. 

Changes in management resulting from the guideline: This version of the SOMANZ guideline was developed in an academically robust and rigorous manner and includes recommendations on the use of combined first trimester screening to identify women at risk of developing preeclampsia, 14 pharmacological and two non-pharmacological preventive interventions, clinical use of angiogenic biomarkers and the long term care of women who experience HDP. The guideline also includes six multilingual patient infographics which can be accessed through the main website of the guideline. All measures were taken to ensure that this guideline is applicable and relevant to clinicians and multicultural women in regional and metropolitan settings in Australia and New Zealand.

Original languageEnglish
Pages (from-to)582-591
Number of pages10
JournalMedical Journal of Australia
Volume220
Issue number11
Early online date19 May 2024
DOIs
Publication statusPublished - 17 Jun 2024

Keywords

  • Guidelines as topic
  • Hypertension
  • Pre-eclampsia
  • Pregnancy, high-risk

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