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Improving maternal and perinatal outcomes in the hypertensive disorders of pregnancy: A vision of a community-focused approach.

TitleImproving maternal and perinatal outcomes in the hypertensive disorders of pregnancy: A vision of a community-focused approach.
Publication TypeJournal Article
Year of Publication2012
Authorsvon Dadelszen, P, Ansermino, JM, Dumont, G, Hofmeyr, J, Magee, LA, Mathai, M, Sawchuck, D, Teela, K, Donnay, F, Roberts, J
Corporate AuthorsPRE-EMPT (PRE-eclampsia-Eclampsia Monitoring, Prevention and Treatment) Group
JournalInt J Gynaecol Obstet
Volume119 Suppl 1
PaginationS30-S34
Date Published2012 Oct
ISSN1879-3479
KeywordsCLIP
Abstract

The hypertensive disorders of pregnancy (HDP; pre-existing hypertension, gestational hypertension, and pre-eclampsia) remain important causes of maternal morbidity and mortality, especially in low- and middle-income countries. The paper summarizes the current state of evidence around possible technologies to support community-based improvements in maternal and perinatal outcomes for women with pre-eclampsia. Through the testing and, where proven, introduction of these technologies, we believe that HDP-related progress toward achieving Millennium Development Goal 5 can best be accelerated. The evidence and discussion are presented under the following headings: (1) prediction; (2) prevention; (3) diagnosis; (4) risk stratification; (5) decision aids; (6) treatment; (7) geographic information systems; (8) communication; and (9) community and patient education.

DOI10.1016/j.ijgo.2012.03.012
Alternate JournalInt J Gynaecol Obstet
Citation Key540
PubMed ID29644651