Key result
Routine care for chronic hypertension in pregnancy frequently overlooks aspirin prophylaxis, prescribing it to only ~12%.
Why the study?
Compliance with clinical practice guidelines for management of hypertension during pregnancy has potential to improve maternal and perinatal health but is not well evaluated.
Population
516 women with hypertension in pregnancy at a tertiary obstetric centre in 2010
Comparison
Compliance with SOMANZ guidelines and uptake of HYPITAT trial findings
Design
Observational cohort study
Authors
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Persistent gaps in aspirin use and induction for hypertensive pregnancies highlight implementation shortfalls; leaves open whether targeted strategies improve adherence.
Observational (n=5,624)
No
While thresholds for diagnosing and treating hypertension in pregnancy align with guidelines, there is significant underutilization of aspirin prophylaxis and low uptake of induction recommendations for mild gestational hypertension/pre-eclampsia.
Helou et al. (2016) conducted an observational in Hypertension in pregnancy (n=5,624). Compliance with SOMANZ clinical guidelines was evaluated on Compliance with SOMANZ guidelines for management of hypertension during pregnancy. Although hypertension treatment guidelines were generally followed, aspirin prophylaxis was frequently overlooked, with only 12.2% of women with chronic hypertension prescribed aspirin.
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