Why the study?
What are the current practices and attitudes of Australian obstetricians and gynaecologists regarding the management of hypertensive disease of pregnancy?
What are the current practices and attitudes of Australian obstetricians and gynaecologists regarding the management of hypertensive disease of pregnancy?
Australian obstetricians show general uniformity in managing severe hypertensive disease of pregnancy, but significant variation exists in the choice of antihypertensive drug therapy.
Uniformity in severe cases supports consistent care; leaves open standardization of antihypertensive choices by experience and region.
Fellows of The Royal Australian College of Obstetricians and Gynaecologists were surveyed to determine current practice in the management of hypertensive disease of pregnancy. Eight hundred and seventy Fellows were sent a questionnaire and there was a 74.1% response. There was in the majority of clinical situations a uniformity of response. This was especially so with the more serious clinical situations. Variations in response were particularly evident in choice of drug therapy. The year of obtaining specialist qualification and the State of practice accounted for most variation in survey results. There was uncertainty about the value of antihypertensive therapy to the fetus.
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Trudinger et al. (1982) studied this question.
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