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.
Jillian T. Henderson, Ph.D., from the Kaiser Permanente Evidence-based Practice Center in Portland, Oregon, and colleagues conducted a systematic review to update the evidence on the effectiveness of screening for hypertensive disorders of pregnancy. The review included six fair-quality studies, with 10,165 participants, which compared changes in prenatal screening practices to usual care (routine screening at in-person office visits).
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 recommendation).
“The task force continues to find that measuring blood pressure at each prenatal visit is an effective way to screen for hypertensive disorders of pregnancy,” USPSTF member Esa Davis, M.D., M.P.H., said in a statement. “Because these conditions can cause serious health issues, screening is an important way to keep pregnant people and their babies healthy.”
Jillian T. Henderson et al, Screening for Hypertensive Disorders of Pregnancy, JAMA (2023). DOI: 10.1001/jama.2023.4934
Screening for Hypertensive Disorders of Pregnancy, JAMA (2023). DOI: 10.1001/jama.2023.16991
Anna E. Denoble et al, Hypertension Screening in Pregnancy, JAMA (2023). DOI: 10.1001/jama.2023.15088
Srilakshmi Mitta et al, Screening for Hypertensive Disorders of Pregnancy in the US—A New Hypertensive Urgency, JAMA Internal Medicine (2023). DOI: 10.1001/jamainternmed.2023.4723
Janelle Santos et al, Early Identification of Individuals at Risk for Hypertensive Disorders of Pregnancy, JAMA Network Open (2023). DOI: 10.1001/jamanetworkopen.2023.34858
Journal of the American Medical Association
JAMA Network Open
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