Self-Reported Adherence to the Use of Clinical Practice Guidelines of Hypertensive Disorders of Pregnancy in Jordanian Hospitals

Abstract

Background: Hypertensive Disorders of Pregnancy (HDP) represents a life-threatening event for women
and their families. A number of national and international Clinical Practice Guidelines (CPGs) of HDP
have been published, however their use in clinical practice is still not well documented as it is complex.
Suboptimal adherence to CPGs may lead to unfavorable maternal and perinatal outcomes. The purpose of
this study is to assess the level of adherence of Healthcare Providers (HCPs) including obstetricians, nurses,
and midwives to the HDP CPG based on Health System Strengthening (HSS II) recommendations in Jordan.
Methods: A cross-sectional study design is used. 270 HCPs are recruited from different healthcare sectors
that provide maternal health care services to women who are at risk of developing HDP. Data is collected
through self-reported questionnaire.
Conclusion: HCPs showed a suboptimal adherence of to evidence-based recommendations of HDP’s
guidelines; particularly in the antepartum and postpartum period. The results of this study can be used by
guideline developers to raise acceptance and applicability of the guideline recommendations. Also, it may
help healthcare stakeholders and policy makers in designing tailored strategies to ensure successful and
sustainable guideline adoption and its implementation in evidence-based maternity care.