• About Us
    • Contact Us
    • Login
    • ObGFirst
  • COVID-19
  • Alerts
  • OB
  • 2T US Atlas
  • The Genome
  • GYN
    • GYN
    • Sexual Health
  • Primary Care
  • Your Practice
  • #GrandRounds
  • My Bookshelf
  • Now@ObG
  • Media
About Us Contact Us Login ObGFirst
  • COVID-19
  • Alerts
  • OB
  • 2T US Atlas
  • The Genome
  • GYN
    • 0 CME Hours
    • GYN
    • Sexual Health
  • Primary Care
  • Your Practice
  • #GrandRounds
  • My Bookshelf
  • Now@ObG
  • Media
#Grand Rounds

Compliance Findings in Blood Pressure Treatment for Preeclampsia

image_pdfFavoriteLoadingFavorite

PURPOSE:

Multiple guidelines have been released to decrease severe morbidity and mortality associated with preeclampsia but data remains limited as to impact of these recommendations on adverse events. This study by Shields et al. (AJOG, 2017) aimed to determine if standardized guideline-based protocols to treat severe hypertension/preeclampsia are associated with improved outcomes.

METHODS:

Multicentered, Prospective Quality Improvement Project. The standardized protocol included IV anti-hypertensive medication and magnesium sulfate when systolic BP ≥160 mm Hg and/or diastolic BP was ≥110 mm Hg. The study was designed to compare 6 months of data prior to establishing the standardized protocol to data collected in the year following implementation.

RESULTS:

During the study (including baseline and later data), there were 69,449 births, 2,034 of which had critically elevated blood pressure, preeclampsia, or superimposed preeclampsia. Compliance steadily increased over the year of the study interval.  Rates of eclampsia decreased by 42.6% (1.15 ± 0.15/1000 to 0.62 ± 0.09/1000 births) and severe maternal morbidity decreased by 16.7% (2.4 ± 0.10% to 2.0 ± 0.15%) with P < .01. The authors conclude that (1) preeclampsia guideline compliance outside of studies may be low; (2) compliance can be improved quickly; (3) standardization of protocols using professional guidelines can positively impact adverse outcomes in the setting of severe preeclampsia.

Learn More – Primary Sources:

Early standardized treatment of critical blood pressure elevations is associated with a reduction in eclampsia and severe maternal morbidity

image_pdfFavoriteLoadingFavorite

< Previous
All #Grand Rounds Posts
Next >

Related ObG Topics:

ACOG Guidance: Emergency Treatment for Severe Hypertension in Pregnancy
Aspirin Treatment for Women at Risk for Preeclampsia – ACOG and USPSTF Recommendations  

Sections

  • COVID-19
  • Alerts
  • OB
  • GYN
    • GYN
    • Sexual Health
  • 2T US Atlas
  • The Genome
  • Primary Care
  • Your Practice
  • #Grand Rounds
  • My Bookshelf
  • Now@ObG
  • Media

ObG Library

  • Hysteroscopy
  • Fertility
  • Site Map/
  • © ObG Project/
  • Terms and Conditions/
  • Privacy/
  • Contact Us/
© ObG Project
SSL Certificate


  • Already an ObGFirst Member?
    Welcome back

    Log In

    Want to sign up?
    Get guideline notifications
    CME Included

    Sign Up

Get Guideline Alerts Direct to Your Phone
Try ObGFirst Free!

Sign In

Lost your password?

Sign Up for ObGFirst and Stay Ahead

  • - Professional guideline notifications
  • - Daily summary of a clinically relevant
    research paper
  • - Includes 1 hour of CME every month

ObGFirst Free Trial

Log In to ObG First

Please log in to access OBGFirst and the 2T Ultrasound Atlas

Password Trouble?

Sign Up for ObGFirst

  • - Access 2T US Atlas
  • - Guideline notifications
  • - Daily research paper summaries
  • - And lots more!

ObG First Free Trial

Media - Internet

Computer System Requirements

OBG Project CME requires a modern web browser (Internet Explorer 10+, Mozilla Firefox, Apple Safari, Google Chrome, Microsoft Edge). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, or Real Networks Real One Player.

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Jointly provided by

NOT ENOUGH CME HOURS

It appears you don't have enough CME Hours to take this Post-Test. Feel free to buy additional CME hours or upgrade your current CME subscription plan

Subscribe

JOIN OBGFIRST AND GET CME/CE CREDITS

One of the benefits of an ObGFirst subscription is the ability to earn CME/CE credits from the ObG entries you read. Tap the button to learn more about ObGFirst

Learn More
Leaving ObG Website

You are now leaving the ObG website and on your way to PRIORITY at UCSF, an independent website. Therefore, we are not responsible for the content or availability of this site