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USPSTF 2023: Screen pregnant persons for hypertensive disorders throughout pregnancy (B recommendation)
Question clinique
Should primary care clinicians screen for hypertensive disorders in pregnant persons?
L’Essentiel
In this updated review, the USPSTF concludes with moderate certainty that screening for hypertensive disorders in pregnancy has substantial benefit. There is no evidence that any other screening approach, including routine checking for urine proteinuria, is more accurate than regular blood pressure measurements at office visits (B recommendation). This review is consistent with the 2017 USPSTF recommendation statement. 2c
Référence
Plan de l'etude: Practice guideline
Financement: Government
Cadre: Various (guideline)
Sommaire
Since the last evidence review, the US Preventive Services Task Force (USPSTF) has found continued evidence that regular blood pressure checks are accurate in screening for preeclampsia. In addition, no further evidence was found that any alternative screening strategies for hypertensive disorders of pregnancy, including screening for urine proteinuria, are more effective than routine blood pressure measurements at in-person visits. Although no evidence directly compares screening with no screening, current treatments for preeclampsia are effective, and there is no evidence of any observed harm from screening. The American College of Obstetricians and Gynecologists and the Society of Obstetricians and Gynaecologists of Canada recommend screening for hypertension via in-office blood pressure measurements.
Reviewer
David C. Slawson, MD
Professor and Vice Chair of Family Medicine for Education and Scholarship
Atrium Health
Professor of Family Medicine, UNC Chapel Hill
Charlotte, NC
Commentaires
Impact assessment
Excellent
checking BP in pregnancy
great information
very good information
very good information
USPSTF 2023 screen pregnant hypertension disorders througho
good to know