Recommending the SCD in pregnancy CPGs for use in practice
The second (overall) assessment, regarding the recommendation for using
the CPG in practice, revealed a consensus agreement between the
reviewers on recommending the use of two of the appraised CPGs without
modification including the RCOG and NHLBI CPGs and the other two CPGs
with modifications (NICE, RCOG).
Strengths and limitations of the included CPGs are summarized in Table 4
based on the consensus and comments of the CPG appraisers for each item
of the AGREE II.
All of the included CPGs cited systematic reviews in their references
list. The largest number of systematic review citation was observed in
the RCOG CPG (N=6) among them five were Cochrane reviews (83%).
Overall, the lines of management of pregnant women with SCD were similar
in these CPGs as shown in Table 5.