Antenatal screening and predicting hypertension in pregnancy for midwives

Peacock, Ann S. and Bogossian, Fiona E. (2010) Antenatal screening and predicting hypertension in pregnancy for midwives. Women and Birth, 23 3: 81-93. doi:10.1016/j.wombi.2009.09.002

Author Peacock, Ann S.
Bogossian, Fiona E.
Title Antenatal screening and predicting hypertension in pregnancy for midwives
Journal name Women and Birth   Check publisher's open access policy
ISSN 1871-5192
Publication date 2010-09
Year available 2009
Sub-type Article (original research)
DOI 10.1016/j.wombi.2009.09.002
Volume 23
Issue 3
Start page 81
End page 93
Total pages 13
Editor Kathleen Fahy
Place of publication Netherlands
Publisher Elseiver BV
Collection year 2010
Language eng
Subject C1
9202 Health and Support Services
111006 Midwifery
Abstract Background: The cause of hypertension in pregnancy remains unknown and results in increased risk of complications for mother and baby. Symptoms of developing pre-eclampsia, such as an elevated blood pressure, can be vague and singular. The purpose of this literature review is to evaluate research investigating antenatal screening practices for hypertension which fall within the midwives scope of practice. Method: Inclusion criteria for this literature review were English language, peer reviewed primary research journal articles, published in the previous 20 years where the population under study was pregnant with reported outcomes of prevention, screening or prediction of hypertension in pregnancy. A large number of papers (n = 201) were identified and these were screened and subsequently excluded if they addressed diagnostic testing, screening and interpretation that depended solely on a medical practitioner. Results: There was no single predictive factor found, however the relevant papers included in this review (n = 33) found evidence of modifiable, non-modifiable and clinical assessment factors for inclusion in a midwifery screening model. Conclusions: Further research should be focused on the factors observed by midwives during history taking and the antenatal course in the second and third trimesters and whether or not these can be synthesised in to a hypertension-specific diagnostic tool for use in midwifery practice.
Keyword Hypertension
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Nursing, Midwifery and Social Work Publications
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Created: Tue, 17 Nov 2009, 14:39:47 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work