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Hypertensive disorders in pregnancy: a review of international guidelines
Susanne H E Luitjes1, Maurice G A J Wouters, Tamar König
1Department of Obstetrics and Gynaecology, VU University Medical Centre , PO Box 7057 1007 MB Amsterdam , The Netherlands .
Abstract:
International collaboration could facilitate systematic development of guidelines to regulate and improve clinical practice. Insight into existing international guidelines regarding hypertensive disorders in pregnancy (HDP) is essential. Aim was to evaluate the content and quality of international clinical guidelines on HDP. Quality was assessed with the internationally validated Appraisal of Guidelines for Research and Evaluation (AGREE II) Instrument. Six guidelines were identified. Quality was moderate to high. Major flaws were applicability, editorial independence and stakeholder involvement. Recommendations differed considerably, particularly their extensiveness. The number of international HDP guidelines is small and the extensiveness of their recommendations varies considerably.
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