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Int J Gynaecol Obstet · Oct 2012
Improving maternal and perinatal outcomes in the hypertensive disorders of pregnancy: a vision of a community-focused approach.
- Peter von Dadelszen, J Mark Ansermino, Guy Dumont, G Justus Hofmeyr, Laura A Magee, Matthews Mathai, Diane Sawchuck, Kate Teela, France Donnay, James M Roberts, and PRE-eclampsia-Eclampsia Monitoring, Prevention and Treatment Group.
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada. pvd@cw.bc.ca
- Int J Gynaecol Obstet. 2012 Oct 1;119 Suppl 1:S30-4.
AbstractThe 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.Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
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