Guidelines for the management of women with severe pre-eclampsia - 20/10/21
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Abstract |
Objective |
To provide national guidelines for the management of women with severe pre-eclampsia.
Design |
A consensus committee of 26 experts was formed. A formal conflict-of-interest (COI) policy was developed at the onset of the process and enforced throughout. The entire guidelines process was conducted independently of any industrial funding. The authors were advised to follow the principles of the Grading of Recommendations Assessment, Development and Evaluation (GRADE®) system to guide assessment of quality of evidence. The potential drawbacks of making strong recommendations in the presence of low-quality evidence were emphasised.
Methods |
The last SFAR and CNGOF guidelines on the management of women with severe pre-eclampsia were published in 2009. The literature is now sufficient for an update. The aim of this expert panel guidelines is to evaluate the impact of different aspects of the management of women with severe preeclampsia on maternal and neonatal morbidities separately. The experts studied questions within 7 domains. Each question was formulated according to the PICO (Patients Intervention Comparison Outcome) model and the evidence profiles were produced. An extensive literature review and recommendations were carried out and analysed according to the GRADE® methodology.
Results |
The SFAR/CNGOF experts panel provided 25 recommendations: 8 have a high level of evidence (GRADE 1+/−), 9 have a moderate level of evidence (GRADE 2+/−), and for 7 recommendations, the GRADE method could not be applied, resulting in expert opinions. No recommendation was provided for 3 questions. After one scoring round, strong agreement was reached between the experts for all the recommendations.
Conclusions |
There was strong agreement among experts who made 25 recommendations to improve practices for the management of women with severe pre-eclampsia.
Le texte complet de cet article est disponible en PDF.Keywords : Guidelines, Severe pre-eclampsia, Maternal morbidity, Neonatal morbidity
Plan
☆ | Validated by the SFAR Clinical Practice Guidelines Committee on the 8th of 2020, and the SFAR Board of Directors on the 4th of September 2020. |
☆☆ | Clinical guidelines issued by the French Society of Anaesthesia and Intensive Care (Société française d’anesthésie et de réanimation, SFAR) and the French College of Gynaecologists and Obstetricians (Collège national des gynécologues et obstétriciens français, CNGOF) |
Vol 40 - N° 5
Article 100901- octobre 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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