Cost-Effectiveness of Present Programs for Detection of Asymptomatic Hypertension in Relation to the Severity of Hypertension Andproteinuric Hypertension | International Journal of Technology Assessment in Health Care | Cambridge Core (original) (raw)

Abstract

Proteinuric hypertension is an important cause of maternal and perinatal mortality. Eclampsia cannot always be prevented. The likelihood of identifying a new case of proteinuric hypertension at any particular visit is very low using traditional antenatal care schedules, and care could be focused on women at higher risk.

Type

Screening for Asymptomatic Pregnancy Hypertension

Copyright

Copyright © Cambridge University Press 1992

References

1.Bryce, R., Cvitanovich, A., Hogan, J., et al. Perceptions of antenatal care. Proceedings of 4th Australian Congress in Obstetrics and Gynecology, Perth, 75, 1987.Google Scholar

2.Campbell, D. M., MacGillivray, I., & Carrhill, R.Pre-eclampsia in a second pregnancy. British Journal of Obstetrics and Gynaecology, 1985, 92, 131–40.CrossRefGoogle Scholar

3.Cole, S. K., Hey, E. N., & Thomson, A. M.Classifying perinatal death: An obstetric approach, British Journal of Obstetrics and Gynaecology, 1986, 93, 1204–12.CrossRefGoogle ScholarPubMed

4.Davey, D. A., & MacGillivray, I. The classification and definition of the hypertensive disorders of pregnancy. In Sharp, F. & Symonds, E. M. (eds.), Hypertension in pregnancy. Proceedings of the Sixteenth Study Group of the Royal College of Obstetricians and Gynaecologists, London, 1987.Google Scholar

5.Drummond, M. Review of evaluative studies of intensive care for very low birthweight infants in Scotland. Economic aspects. In Kaminski, M.Breart, G.Buekens, P. et al. (eds.), Perinatal care delivery systems. Oxford: Oxford University Press, 1986, 265–79.Google Scholar

6.Flint, C., & Poulengeris, P.The “Know your midwife” report. London: C. Flint, 49, Peckarman's Wood, London, SE26 6RZ, 1987.Google Scholar

7.Hall, M. H., Chng, P. K., & MacGilIivray, I.Is routine antenatal care worthwhile? Lancet, 1980, ii, 78–80.CrossRefGoogle Scholar

8.Hall, M. H., Maclntyre, S., & Porter, M.Antenatal care assessed. Aberdeen: Aberdeen University Press, 1985.Google Scholar

9.MacGillivray, I.Pre-eclampsiæ The hypertensive disease of pregnancy. Eastbourne, Philadelphia, Toronto: W. B. Saunders Co. Ltd., 1983, 176–82.Google Scholar

12.Redman, C. Screening for pre-eclampsia. In Enkin, M. & Chalmers, I. (eds.), Effectiveness and satisfaction in antenatal care. London: Spastics International Medical Publications, 1982.Google Scholar

1. Report on Confidential Enquiries into Maternal Deaths in England and Wales, 1982–1984. Department of Health Report on Health, and Social Subjects, 34. HMSO, London, 1989.Google Scholar

14.Rosenberg, K., & Twaddle, S.Screening and surveillance of pregnancy hypertension — An economic approach to the use of day care. In Hall, M. (ed.), Baillere's Clinical Obstetric and Gynaecology, 1990; 4, 89–107.CrossRefGoogle Scholar

15.Scottish Stillbirth and Death Report, 1988 (1989). Information and Statistics Division, Common Services Agency, Edinburgh.Google Scholar

16.Wallenburg, H. C. S. Detecting hypertensive disease in pregnancy. In Chalmers, I.Enkin, M., & Keirse, M.j.n.c. (eds.), Effective care in pregnancy and childbirth. Oxford: Oxford University Press, 1989, 382–402.Google Scholar