Priority 1 from the Blood Pressure in Pregnancy PSP

UNCERTAINTY: What are the long term physical and mental health consequences of pregnancy hypertension (including pre-eclampsia) for the woman, baby and family? (JLA PSP Priority 1)
Overall ranking	1
JLA question ID	0099/1
Explanatory note	Not available for this PSP
Evidence	Association between hypertensive disorders of pregnancy and the development of offspring mental and behavioural problems: A systematic review and meta-analysis. Dachew BA, Mamun A, Maravilla JC, Alati R. Psychiatry Res. 2018 Feb;260:458-467. doi: 10.1016/j.psychres.2017.12.027. Epub 2017 Dec 14. Review.48. A systematic review of the relationship between severe maternal morbidity and post-traumatic stress disorder. Furuta M, Sandall J, Bick D.BMC Pregnancy Childbirth. 2012 Nov 10;12:125. doi: 10.1186/1471-2393-12-125. Review.
Health Research Classification System category	Reproductive health and childbirth

Extra information provided by this PSP
Original uncertainty examples	What does this mean for my baby? ~ How long does it normally take for blood pressure to stabalise after birth I had pre eclampsia ~ What are the long term effects of high bp and what should I be doing as preventative treatment / measures/ lifestyle for my future health care ~ What does the recent research link between preeclampsia and vascular dementia in later life tell us about placental blood flow, if anything? ~ How does it affect the foetus and is there any long term problems (physically, emotionally etc)?
Submitted by	92 women, 3 who knew a person/relative/friend with pregnancy hypertension, 9 healthcare, 3 researchers, 2 other

Extra information provided by this PSP

Original uncertainty examples

What does this mean for my baby? ~ How long does it normally take for blood pressure to stabalise after birth I had pre eclampsia ~ What are the long term effects of high bp and what should I be doing as preventative treatment / measures/ lifestyle for my future health care ~ What does the recent research link between preeclampsia and vascular dementia in later life tell us about placental blood flow, if anything? ~ How does it affect the foetus and is there any long term problems (physically, emotionally etc)?

Submitted by

92 women, 3 who knew a person/relative/friend with pregnancy hypertension, 9 healthcare, 3 researchers, 2 other

PSP information
PSP unique ID	0099
PSP name	Blood Pressure in Pregnancy
Total number of uncertainties identified by this PSP.	50 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	20 June 2019