The U.S. Preventive Services Task Force (USPSTF) recommends screening for hypertensive disorders of pregnancy at each prenatal visit. This recommendation forms the basis of a final recommendation statement published in the Sept. 19 issue of the Journal of the American Medical Association.
The U.S. Preventive Services Task Force recommends screening for hypertensive disorders of pregnancy at each prenatal visit. This recommendation forms the basis of a final recommendation statement published in the Sept. 19 issue of theJillian T. Henderson, Ph.D., from the Kaiser Permanente Evidence-based Practice Center in Portland, Oregon, and colleagues conducted ato update the evidence on the effectiveness of screening for hypertensive disorders of pregnancy.
The researchers found that the studies did not report significant differences in maternal and infant complications in association with alternate strategies versus usual care; for serious, rare health outcomes, estimates were imprecise. Home blood pressure measurement added to prenatal care visits was not associated with earlier diagnosis of hypertensive disorders of pregnancy. No difference in incidence was seen between the groups in three trials of reduced prenatal visit schedules.
Based on these findings, the USPSTF concludes that screening for hypertensive disorders in pregnancy with blood pressure measurements has substantial net benefit. Screening is recommended in asymptomatic pregnant persons throughout pregnancy (B
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