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

Authors

Peter von Dadelszen, Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver BC; Child and Family Research Institute Reproduction and Healthy Pregnancy Cluster, Vancouver BC.
Tabassum Firoz, Child and Family Research Institute Reproduction and Healthy Pregnancy Cluster, Vancouver BC; Department of Medicine, University of British Columbia, Vancouver BC.
France Donnay, Maternal Health, Family Health Department, Bill & Melinda Gates Foundation, Seattle WA.
Rebecca Gordon, Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver BC; Child and Family Research Institute Reproduction and Healthy Pregnancy Cluster, Vancouver BC.
G Justus Hofmeyr, Department of Obstetrics and Gynaecology, Walter Sisulu University, East London, South Africa.
Shifana Lalani, Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver BC.
Beth A. Payne, Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver BC; Child and Family Research Institute Reproduction and Healthy Pregnancy Cluster, Vancouver BC.
James M. Roberts, Magee-Women's Research Institute, University of Pittsburgh, Pittsburgh PA.

Document Type

Article

Publication Title

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

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.

First Page

917

Last Page

926

DOI

10.1016/S1701-2163(16)35405-6

Publication Date

10-1-2012

Recommended Citation

von Dadelszen, Peter; Firoz, Tabassum; Donnay, France; Gordon, Rebecca; Justus Hofmeyr, G; Lalani, Shifana; Payne, Beth A.; and Roberts, James M., "Preeclampsia in low and middle income countries-health services lessons learned from the PRE-EMPT (PRE-Eclampsia-Eclampsia Monitoring, Prevention and Treatment) project" (2012). Obstetrics and Gynecology. 55.
https://scholar.bridgeporthospital.org/obgyn/55

Identifier

23067947 (pubmed); 10.1016/S1701-2163(16)35405-6 (doi); S1701-2163(16)35405-6 (pii)