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Preeclampsia in low and middle income countries-health services lessons learned from the PRE-EMPT (PRE-Eclampsia-Eclampsia Monitoring, Prevention and Treatment) project.

TitlePreeclampsia in low and middle income countries-health services lessons learned from the PRE-EMPT (PRE-Eclampsia-Eclampsia Monitoring, Prevention and Treatment) project.
Publication TypeJournal Article
Year of Publication2012
Authorsvon Dadelszen, P, Firoz, T, Donnay, F, Gordon, R, Hofmeyr, J, Lalani, S, Payne, BA, Roberts, J, Teela, K, Vidler, M, Sawchuck, D, Magee, LA
JournalJ Obstet Gynaecol Can
Volume34
Issue10
Pagination917-926
Date Published2012 Oct
ISSN1701-2163
KeywordsCalcium, Developing Countries, Eclampsia, Female, Humans, Income, Maternal Health Services, Pre-Eclampsia, Pregnancy, Proteinuria
Abstract

The hypertensive disorders of pregnancy, in particular preeclampsia, matter because adverse events occur in women with preeclampsia and, to a lesser extent, in women with the other hypertensive disorders. These adverse events are maternal, perinatal, and neonatal and can alter the life trajectory of each individual, should that life not be ended by complications. In this review we discuss a number of priorities and dilemmas that we perceive to be facing health services in low and middle income countries as they try to prioritize interventions to reduce the health burden related to preeclampsia. These priorities and dilemmas relate to calcium for preeclampsia prevention, risk stratification, antihypertensive and magnesium sulphate therapy, and mobile health. Significant progress has been and is being made to reduce the impact of preeclampsia in low and middle income countries, but it remains a priority focus as we attempt to achieve Millennium Development Goal 5.

DOI10.1016/S1701-2163(16)35405-6
Alternate JournalJ Obstet Gynaecol Can
Citation Key618
PubMed ID23067947