Hypertensive Disorders of Pregnancy Toolkit

The Improving Health Care Response to Hypertensive Disorders of Pregnancy (HDP) toolkit was developed by the HDP Task Force to support timely recognition and response to maternal hypertension and preeclampsia. This version updates the 2014 California Department of Public Health and CMQCC Preeclampsia Toolkit and contains expanded content to cover all HDP. 

In addition to the expanded scope, other key changes include:

• Updated terminology and diagnostic criteria for hypertensive disorders of pregnancy
• Management guidelines in alignment with recent changes in the American College of Obstetricians and Gynecologists’ definition of severe hypertension with treatment guidelines for lower “borderline” blood pressure values
• Guidance on low-dose aspirin for prevention of preeclampsia and long-term follow up after hypertensive disorders of pregnancy
• Best practices including accurate blood pressure measurement, a Preeclampsia Early Recognition Tool (PERT) and nursing assessment protocols

 

The toolkit is available to download after logging into CMQCC's website. If you do not already have a CMQCC Account, you will need to complete a brief survey to initialize an account.

 

Appendix A: Classification of Evidence Grading
Appendix B: Suspected Preeclampsia Algorithm
Appendix C: Simulation Scenarios
Appendix D: Preeclampsia Screening Tools
Appendix E: Acute Treatment Algorithm
Appendix F: Sample Acute-Onset, Severe Hypertension and Eclampsia Medication Kit
Appendix G: HDP ED Stop Sign for Patient Information

Appendix G: HDP ED Stop Sign for Patient Information Spanish Language
Appendix H: Patient Clinical Summary: Severe Maternal Event
Appendix I: Patient Education Checklists
Appendix J: Sample Script: Physician Explanation of Hypertensive Disease Process and Management Plan
Appendix K: Sample Nursing Management Policy and Procedure
Appendix L: FAQs for Timely Treatment for Acute-Onset Severe Hypertension during Pregnancy and the Postpartum Period 
Appendix M: Sample Order Set for Acute Control of Hypertensive Emergencies 
Appendix N: Sample EMR Integration Care Pathway for Preeclampsia
Appendix O: Eclampsia Algorithm
Appendix P: Sample Management of Eclampsia and Acute-Onset, Severe Hypertension
Appendix Q: Guidance for Rapid Debrief and Sample Form
Appendix R: Sample Perinatal Safety Debrief Form