Hypertensive emergencies in pregnancies in underresourced countries

Moodley, J.

doi:10.1097/01.gco.0000313299.51478.4d

Cited by 7 publications

(4 citation statements)

References 23 publications

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“…Clinical management is therefore individualised. In women with early-onset superimposed pre-eclampsia, blood pressure levels may increase quickly, be labile and require therapy as for a hypertensive emergency 15,16. In such circumstances, rapid lowering of high blood pressure and delivery of the baby, even if premature, may be required to prevent maternal complications 17.…”

Section: Pre-eclampsia/eclampsia Syndromementioning

confidence: 99%

Potentially increasing rates of hypertension in women of childbearing age and during pregnancy - be prepared!

Moodley

2011

Cardiovascular Journal of Africa

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The incidence of hypertension in young women is likely to increase in the near future because of the rising rates of the metabolic syndrome, obesity and dyslipidaemia worldwide. Consequently, more women will be on antihypertensive agents, which have the potential for teratogenecity. It is also likely that the increasing number of young women with essential hypertension who become pregnant will develop pregnancy-specific disorders such as pre-eclampsia. Health professionals should be aware of the effects of hypertension in women during the childbearing years, as well as the impact of pre-eclampsia on cardiovascular disease in later life. Pre-conception counselling skills, and knowledge on the use of antihypertensives and the changes that occur during pregnancy should be added to the clinical armamentarium of all health professionals.

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Section: Pre-eclampsia/eclampsia Syndromementioning

confidence: 99%

Potentially increasing rates of hypertension in women of childbearing age and during pregnancy - be prepared!

Moodley

2011

Cardiovascular Journal of Africa

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“…Audit results in South Africa as well as in the UK demonstrate that factors resulting in substandard care clearly play a major role. Auditors call for the introduction of management guidelines for pre‐eclampsia and eclampsia 4 . However, the implementation of guidelines is difficult and will not automatically lead to a change in the practice of healthcare workers.…”

Section: Introductionmentioning

confidence: 99%

Implementing safe motherhood: a low‐cost intervention to improve the management of eclampsia in a referral hospital in Malawi

Drost

Lonkhuijzen

Meguid

et al. 2010

BJOG

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We evaluated the effect of so-called monitoring and treatment charts on the management of eclampsia in a referral hospital in Malawi. Baseline characteristics, clinical management, as well as overall maternal and perinatal outcome were compared by reviewing the medical files of two groups, before and after introduction of the charts in 2006. The use of the charts has resulted in improved monitoring of women with eclampsia and may have contributed to the reduction in the planned prelabour caesarean section rate from 87% to 33%, as more women underwent induction of labour after stabilisation (P = 0.020). Overall maternal and perinatal outcomes were similar.

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“…1,19e21 Our impression is that differences in the incidence and complication rates between developed and developing countries result from gaps in access to care, appropriate and early prenatal care, surveillance and management protocols for timely hospitalization and delivery, antihypertensive therapy for prevention of stroke, pulmonary edema, congestive heart failure and magnesium sulfate prophylaxis during the peripartum period in women with severe preeclampsia. 22,23…”

mentioning

confidence: 99%

Eclampsia in the 21st century

Bartal

Sibai

2022

American Journal of Obstetrics and Gynecology

136

142

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Definition and IncidenceEclampsia is one of the most serious acute complications of pregnancy, and it carries high morbidity and mortality for both the mother and baby. 1 Eclampsia is defined as the occurrence of 1 or more generalized, tonic-clonic convulsions unrelated to other medical conditions in women with hypertensive disorder of pregnancy. Although 10% of pregnancies are complicated by hypertensive disorders, eclampsia continues to occur in 0.8% of women with hypertensive disorders. 2 During the past 50 years, there has been a reduction in the rate of eclampsia in developed countries with a reported incidence ranging from 1.6 per 10,000 deliveries to 10 per 10,000 deliveries. 3e13 In some low-resource or developing countries, the reported rate of eclampsia ranges from 50 to 151 per 10,000 deliveries (Figure 1). 14e18 Although the rate of eclampsia and the number of maternal deaths from hypertension in pregnancy have fallen steadily over recent years in developing countries, hypertensive disorders still feature among the top 6 causes of maternal mortality in the United States and are responsible for up to 14% of all maternal deaths worldwide. 1,19e21 Our impression is that differences in the incidence and complication rates between developed and developing countries result from gaps in access to care, appropriate and early prenatal care, surveillance and management protocols for timely hospitalization and delivery, antihypertensive therapy for prevention of stroke, pulmonary edema, congestive heart failure and magnesium sulfate prophylaxis during the peripartum period in women with severe preeclampsia. 22,23

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Hypertensive emergencies in pregnancies in underresourced countries

Cited by 7 publications

References 23 publications

Potentially increasing rates of hypertension in women of childbearing age and during pregnancy - be prepared!

Potentially increasing rates of hypertension in women of childbearing age and during pregnancy - be prepared!

Implementing safe motherhood: a low‐cost intervention to improve the management of eclampsia in a referral hospital in Malawi

Eclampsia in the 21st century

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