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Severe Hypertension in Pregnancy

Severe Hypertension in Pregnancy

Hypertensive disorders of pregnancy (HPD's) are a leading cause of maternal morbidity and mortality. Nearly 60% of the associated complications from maternal hypertension are preventable with the implementation of maternal safety bundles aimed at improving the recognition and prompt treatment of severe hypertension.

Nebraska is a proud member of the Alliance for Innovation on Maternal Health (AIM). AIM is a national data-driven maternal safety and quality improvement initiative based on proven implementation approaches to improving maternal safety and outcomes in the U.S. AIM’s goal is to eliminate preventable maternal mortality and severe morbidity across the United States.

NPQIC launched the severe maternal hypertension initiative in April 2019 with 28 hospital teams participating. Hospital teams are working to improve outcomes through increased use of appropriate medical management of severe hypertension, debriefs, and discharge education and follow-up with new onset severe maternal hypertension cases.


Maternal Hypertension Resources

AIM Severe Hypertension in Pregnancy Patient Safety Bundle 

AIM Obstetric Emergency Readiness Resource Kit (2023)

ACOG Safe Motherhood Initiative

ACOG Practice Bulletin #767: Emergent Therapy for Acute-Onset Severe Hypertension During Pregnancy and the Postpartum Period

ACOG Practice Bulletin #203: Chronic Hypertension in Pregnancy

ACOG Practice Bulletin #222: Gestational Hypertension and Preeclampsia 

SMFM Special Statement (Feb 2022): A Quality Metric for Evaluating Timely Treatment of Severe Hypertension

SMFM Special Statement (May 2022): Quality Metric for Timely Postpartum Follow-Up After Severe Hypertension

ACOG Committee Opinion #736: Optimizing Postpartum Care 

Sample Policies and Procedures

CMQCC HTN Toolkit 

Clinical Scenarios and Drills

Practicing for Patients Obstetric In-Situ Drill Program

New: AHRQ: Safety Program for Perinatal Care Toolkit and Clinical Case Scenarios

Provider and Nursing Education

NEW: AHA: The Role of Cardiovascular Health in Maternal Health (6/2023)

Hypertensive Disorders in Pregnancy Education Module, (12/2022)

AHRQ: Frontline Education, E-modules

Emergency Department Resources

ACOG: Emergency Department - Postpartum Preeclampsia Checklist (January, 2019)

CMQCC HTN Toolkit Visit Stop Sign- English

CMQCC HTN Toolkit Visit Stop Sign- Spanish

NEW: AIM/RHNTC: Recognize Postpartum Warning Signs Poster for Non-OB Clinical Staff

Patient Education Maternal Early Warning Signs

AWHONN “Save Your Life”

CDC “Hear Her” Campaign

AIM “Urgent Maternal Warning Signs” 

Pre-Eclampsia Foundation

Respectful and Equitable Care

Diversity Science: Dignity in Pregnancy & Childbirth: Preventing Racial Bias in Perinatal Care (Free)

Office of Minority Health (US DHHS): Culturally and Linguistically Appropriate Services (CLAS) in Maternal Health Care (Free)

March of Dimes: Awareness to Action: Dismantling Bias in Maternal and Infant Healthcare

AWHONN: Respectful Maternity Care Implementation Toolkit (RMC-IT)

ACOG: Respectful Care e-Modules (Free)