4.5 Article

Don't forget eclampsia in the efforts to reduce maternal morbidity and mortality

Journal

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
Volume 152, Issue 2, Pages 165-171

Publisher

WILEY
DOI: 10.1002/ijgo.13530

Keywords

cultural norms; eclampsia; health system; maternal health; maternal mortality; severe pre-eclampsia

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Hypertensive disorders are a major cause of maternal morbidity and mortality worldwide. Partnership between healthcare professionals and policy makers, along with increased resources, training, and postpartum care, is essential to reduce the risks associated with these conditions. Culturally appropriate education and sustained efforts can help prevent eclampsia and its complications.
Hypertensive disorders are a leading cause of maternal morbidity and mortality worldwide. Despite advances in prevention and clinical management, women in low-resource countries continue to bear the burden of the sequelae of severe pre-eclampsia-eclampsia. Sustainable strategies to improve the care of women with hypertensive disease, to identify those at risk for hypertensive disease, and to reduce the risk of eclampsia will require partnerships between clinicians and health policy makers. Resources are needed to scale up healthcare access and infrastructure, establish evidence-based protocols for care, and ensure an adequate supply of equipment and drugs. Additionally, efforts for a sustained workforce of perinatal clinicians and staff trained in the assessment and management of hypertensive disease are needed. Effective postpartum care and monitoring are essential to prevent morbidity and mortality due to cardiovascular disease. Culturally appropriate strategies are needed to educate women and their families on the symptoms of pre-eclampsia to address delays in seeking care during pregnancy and postpartum. With targeted, sustained efforts and resources, eclampsia and its associated co-morbidities can be preventable.

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