Skip to main content

Preventing deaths due to the hypertensive disorders of pregnancy.

TitlePreventing deaths due to the hypertensive disorders of pregnancy.
Publication TypeJournal Article
Year of Publication2016
Authorsvon Dadelszen, P, Magee, LA
JournalBest Pract Res Clin Obstet Gynaecol
Volume36
Pagination83-102
Date Published2016 Oct
ISSN1532-1932
KeywordsAspirin, Birth Intervals, Calcium, Cardiotocography, Dietary Supplements, Eclampsia, Female, Food Supply, Health Facilities, Humans, Hypertension, Hypertension, Pregnancy-Induced, Infant, Newborn, Mass Screening, Maternal Death, Obesity, Patient Participation, Perinatal Death, Platelet Aggregation Inhibitors, Pre-Eclampsia, Preconception Care, Pregnancy, Pregnancy Complications, Cardiovascular, Prenatal Care, Proteinuria, Reproductive Behavior, Stillbirth
Abstract

In this chapter, taking a life cycle and both civil society and medically oriented approach, we will discuss the contribution of the hypertensive disorders of pregnancy (HDPs) to maternal, perinatal and newborn mortality and morbidity. Here we review various interventions and approaches to preventing deaths due to HDPs and discuss effectiveness, resource needs and long-term sustainability of the different approaches. Societal approaches, addressing sustainable development goals (SDGs) 2.2 (malnutrition), 3.7 (access to sexual and reproductive care), 3.8 (universal health coverage) and 3c (health workforce strengthening), are required to achieve SDGs 3.1 (maternal survival), 3.2 (perinatal survival) and 3.4 (reduced impact of non-communicable diseases (NCDs)). Medical solutions require greater clarity around the classification of the HDPs, increased frequency of effective antenatal visits, mandatory responses to the HDPs when encountered, prompt provision of life-saving interventions and sustained surveillance for NCD risk for women with a history of the HDPs.

DOI10.1016/j.bpobgyn.2016.05.005
Alternate JournalBest Pract Res Clin Obstet Gynaecol
Citation Key616
PubMed ID27531686
PubMed Central IDPMC5096310