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Review
. 2016 Oct:36:83-102.
doi: 10.1016/j.bpobgyn.2016.05.005. Epub 2016 Jun 28.

Preventing deaths due to the hypertensive disorders of pregnancy

Peter von Dadelszen  1 , Laura A Magee  2
Affiliations
Review

Preventing deaths due to the hypertensive disorders of pregnancy

Peter von Dadelszen et al. Best Pract Res Clin Obstet Gynaecol. 2016 Oct.

Abstract

In this chapter, taking a life cycle and both civil society and medically oriented approach, we will discuss the contribution of the hypertensive disorders of pregnancy (HDPs) to maternal, perinatal and newborn mortality and morbidity. Here we review various interventions and approaches to preventing deaths due to HDPs and discuss effectiveness, resource needs and long-term sustainability of the different approaches. Societal approaches, addressing sustainable development goals (SDGs) 2.2 (malnutrition), 3.7 (access to sexual and reproductive care), 3.8 (universal health coverage) and 3c (health workforce strengthening), are required to achieve SDGs 3.1 (maternal survival), 3.2 (perinatal survival) and 3.4 (reduced impact of non-communicable diseases (NCDs)). Medical solutions require greater clarity around the classification of the HDPs, increased frequency of effective antenatal visits, mandatory responses to the HDPs when encountered, prompt provision of life-saving interventions and sustained surveillance for NCD risk for women with a history of the HDPs.

Keywords: maternal mortality; medical interventions; pregnancy hypertension; societal interventions.

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References

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