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Article
Pre-eclampsia and eclampsia: global challenges in low resource settings complete with proposed interventions in rural Haiti
Proceedings in Obstetrics and Gynecology
  • Rachel M Bender, University of Iowa
  • Ginny L. Ryan, Department of Obstetrics and Gynecology, University of Iowa Hosptials and Clinics
Peer Reviewed
1
Publication Date
4-10-2013
Abstract
Preeclampsia is a complex multi-pathway disease process diagnosed by hypertension with two readings of systolic blood pressure ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg, separated by a 4-6 hour period, and proteinuria with a urine dipstick of ≥ 1+ or ≥ 300 mg per 24 hours, after 20 weeks’ gestation in a previously normotensive patient. Ninety-nine percent of pregnancy related deaths occur in middle and low-income countries (LMIC). Of these deaths, the World Health Organization (WHO) ranks pre-eclampsia and eclampsia as the second leading direct cause of maternal morbidity and mortality, behind only postpartum hemorrhage. A woman born in a developing country has a seven times greater risk of developing pre-eclampsia and a three times greater risk of progressing to eclampsia. This paper seeks to review what we know about the basics of detection and management to encourage thoughtful applications in improving the global burden of pre-eclampsia and eclampsia in low resources settings.
Keywords
  • pre-eclampsia,
  • eclampsia,
  • developing countries,
  • health services
Total Pages
6
Financial Disclosure
The authors report no conflict of interest.
Rights
Copyright © Rachel M. Bender, Ginny L. Ryan, 2013.
Creative Commons License
Creative Commons Attribution-Share Alike 3.0
Citation Information
Rachel M Bender and Ginny L. Ryan. "Pre-eclampsia and eclampsia: global challenges in low resource settings complete with proposed interventions in rural Haiti" (2013) p. 1 - 6 ISSN: 2154-4751
Available at: http://works.bepress.com/ginny_ryan/2/