Volume 55, Issue 5 p. e1-e29
Original Article

SOMANZ guidelines for the management of hypertensive disorders of pregnancy 2014

Sandra A. Lowe

Corresponding Author

Sandra A. Lowe

Department of Medicine, Royal Hospital for Women, Sydney, New South Wales, Australia

School of Women's and Children's Health, UNSW, Sydney, New South Wales, Australia

Correspondence: Professor Sandra A. Lowe, Royal Hospital for Women (RHW), Barker St, Randwick, NSW 2031, Australia. Email: [email protected]Search for more papers by this author
Lucy Bowyer

Lucy Bowyer

School of Women's and Children's Health, UNSW, Sydney, New South Wales, Australia

Search for more papers by this author
Karin Lust

Karin Lust

Department of Obstetric Medicine and Internal Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia

Search for more papers by this author
Lawrence P. McMahon

Lawrence P. McMahon

Monash University & Eastern Health, Melbourne, Victoria, Australia

Search for more papers by this author
Mark Morton

Mark Morton

Women's and Children's Hospital, Adelaide, South Australia, Australia

Search for more papers by this author
Robyn A. North

Robyn A. North

King's College, London, UK

Search for more papers by this author
Michael Paech

Michael Paech

Department of Anaesthesia and Pain Medicine, King Edward Memorial Hospital for Women, Perth, Western Australia, Australia

Search for more papers by this author
Joanne M. Said

Joanne M. Said

Sunshine Hospital and University of Melbourne, Melbourne, Victoria, Australia

Search for more papers by this author
First published: 28 September 2015
Citations: 177
These are the recommendations of a multidisciplinary working party convened by the Society of Obstetric Medicine of Australia and New Zealand. They reflect current medical literature and the clinical experience of members of the working party.
Linked article: This article is related to ‘The SOMANZ Guidelines for the Management of Hypertensive Disorders of Pregnancy 2014’. To view the article visit http://dx.doi.org/10.1111/ajo.12253.

Abstract

This guideline is an evidence based, practical clinical approach to the management of Hypertensive Disorders of Pregnancy. Since the previous SOMANZ guideline published in 2008, there has been significant international progress towards harmonisation of definitions in relation to both the diagnosis and management of preeclampsia and gestational hypertension. This reflects increasing knowledge of the pathophysiology of these conditions, as well as their clinical manifestations. In addition, the guideline includes the management of chronic hypertension in pregnancy, an approach to screening, advice regarding prevention of hypertensive disorders of pregnancy, and discussion of recurrence risks and long term risk to maternal health. The literature reviewed included the previous SOMANZ Hypertensive Disorders of Pregnancy guideline from 2008 and its reference list, plus all other published National and International Guidelines on this subject. Medline, Cochrane Database of Systematic Reviews (CDSR), Cochrane Central Registry of Controlled Trials (CCRCT), National Institute for Health and Care Excellence (NICE) Evidence Search, and Database of Abstracts and Reviews of Effects (DARE) were searched for literature published between January 2007 and March, 2014.