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Improving maternal and perinatal outcomes in the hypertensive disorders of pregnancy: A vision of a community‐focused approach
Author(s) -
von Dadelszen Peter,
Ansermino J. Mark,
Dumont Guy,
Hofmeyr G. Justus,
Magee Laura A.,
Mathai Matthews,
Sawchuck Diane,
Teela Kate,
Donnay France,
Roberts James M.
Publication year - 2012
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2012.03.012
Subject(s) - medicine , gestational hypertension , pregnancy , eclampsia , risk stratification , intensive care medicine , obstetrics , preeclampsia , pediatrics , genetics , biology
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.