Meta-analysis
Current concepts in the management of hypertension in hypertensive disorders of pregnancy: a systematic review of international guidelines
- Systematic review of international guidelines
- AGREE II quality assessment
Authors' conclusion
All guidelines acknowledge the significant morbidity associated with HDP and advocate for timely diagnosis and management. However, there are significant discrepancies in many aspects including definition and pharmacological management.
Study context
- Population
- Guidelines on management of gestational hypertension and pre-eclampsia (English, not derived from other guidelines), January 2010 to April 2024
- Participants
- 12 guidelines
Pooled result
As reported in the abstract
Agreement among guidelines on hypertensive disorders of pregnancy (HDP) classification, diagnosis and management
- Consistent definitions of gestational hypertension (GH) and pre-eclampsia (PE) and antihypertensive agents to avoid
- Differing BP thresholds for initiating antihypertensive medication and treatment targets
- Aspirin universally recommended; guidance on non-pharmacological interventions controversial
- 12 guidelines
Original publication
Current concepts in the management of hypertension in hypertensive disorders of pregnancy: a systematic review of international guidelines. Eur J Prev Cardiol. Published 28 June 2025. doi:10.1093/eurjpc/zwaf373
Summarised from the published abstract; every number is checked against it