Document Detail


Evaluation of the role of day assessment unit in the management of pregnancy induced hypertension.
MedLine Citation:
PMID:  16263537     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study is based on an audit designed to investigate observance of the guideline on pregnancy induced hypertension (PIH) and referral to the day assessment unit (DAU) at the Royal Berkshire Hospital. The audit included 60 patients; all were first time referrals, over a period of 4 months in 2003. The main sources of cases were the community (50%), followed by the antenatal clinic (ANC) 47%. The majority (67%) were referred with hypertension. A total of 28% had suspected symptomatic pre-eclampsia. About 94% of the patients were at >or= 32 weeks' gestation. After assessment in the unit, it was found that about 47% had a diastolic blood pressure of <90 mmHg and 77% had no proteinuria. Nearly all the cases referred with symptoms were found to be asymptomatic on review. The laboratory investigations were normal in over 92% of cases. In spite of these findings, 65% of patients were followed-up in ANC and DAU. The audit showed the need for the local guideline.
Authors:
M M Saleh; M Selinger
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  25     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-11-02     Completed Date:  2006-01-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  651-5     Citation Subset:  IM    
Affiliation:
Lancashire Teaching Hospital, Preston, UK. mmsaleh002003@yahoo.co.uk
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care / standards*
Blood Chemical Analysis
Blood Pressure Monitoring, Ambulatory / standards*
Female
Follow-Up Studies
Guideline Adherence
Humans
Hypertension, Pregnancy-Induced / diagnosis*,  therapy*
Maternal Health Services / methods
Monitoring, Physiologic / standards
Practice Guidelines as Topic*
Pregnancy
Pregnancy Outcome*
Prospective Studies
Proteinuria / diagnosis
Severity of Illness Index
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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