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Consensus Bundle on Severe Hypertension During Pregnancy and the Postpartum Period

      Abstract

      Complications arising from hypertensive disorders of pregnancy are among the leading causes of preventable severe maternal morbidity and mortality. Timely and appropriate treatment has the potential to significantly reduce hypertension-related complications. To assist health care providers in achieving this goal, this patient safety bundle provides guidance to coordinate and standardize the care provided to women with severe hypertension during pregnancy and the postpartum period. This is one of several patient safety bundles developed by multidisciplinary work groups of the National Partnership for Maternal Safety under the guidance of the Council on Patient Safety in Women's Health Care. These safety bundles outline critical clinical practices that should be implemented in every maternity care setting. Similar to other bundles that have been developed and promoted by the Partnership, the hypertension safety bundle is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and Systems Learning. Although the bundle components may be adapted to meet the resources available in individual facilities, standardization within an institution is strongly encouraged. This commentary provides information to assist with bundle implementation.
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      Biography

      Peter S. Bernstein, MD, MPH, is Director of the Division of Maternal Fetal Medicine and a Professor of Obstetrics and Gynecology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY.

      Biography

      James N. Martin Jr., MD, is Past President, American College of Obstetricians and Gynecologists and Professor Emeritus, University of Mississippi, Jackson, MS.

      Biography

      John R. Barton, MD, MS, is the Director of Maternal-Fetal Medicine, Baptist Healthcare Lexington, Lexington, KY.

      Biography

      Laurence E. Shields, MD, is Director of Maternal Fetal Medicine, Marian Regional Medical Center, Santa Maria, CA and Medical Director, Perinatal Safety, Dignity Health, San Francisco CA.

      Biography

      Maurice L. Druzin, is Professor of Obstetrics and Gynecology, Stanford University, Stanford, CA.

      Biography

      Barbara M. Scavone, MD, is Past President, Society for Obstetric Anesthesia and Perinatology, Milwaukee, WI, Professor of Anesthesia & Critical Care, and Professor of Obstetrics & Gynecology, University of Chicago in Chicago, IL.

      Biography

      Jennifer Frost, MD, is Medical Director, Health of the Public and Science Division, American Academy of Family Physicians, Leawood, KS.

      Biography

      Christine H. Morton, PhD, is a research sociologist, California Maternal Quality Care Collaborative, Stanford, CA.

      Biography

      Catherine Ruhl, CNM, MS, is Director of Women's Health Programs, Association of Women's Health, Obstetric and Neonatal Nurses, Washington, DC.

      Biography

      Joan Slager, DNP, CNM, is the Treasurer, Board Of Directors, American College of Nurse-Midwives, Silver Spring, MD and Doctor of Nursing Practice Program Director, Frontier Nursing University, Hyden, KY.

      Biography

      Eleni Z. Tsigas is Executive Director, Preeclampsia Foundation, Melbourne, FL.

      Biography

      Sara Jaffer, MPH, is a volunteer editor, American College of Obstetricians and Gynecologists, Washington, DC.

      Biography

      M. Kathryn Menard, MD, MPH, is Past President, Society for Maternal-Fetal Medicine, Washington, DC and Distinguished Professor of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC.

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