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Practice Guideline
. 2021 Jan;43(1):61-65.
doi: 10.1055/s-0040-1713803. Epub 2021 Jan 29.

Pre-eclampsia: Universal Screening or Universal Prevention for Low and Middle-Income Settings?

Leandro Gustavo De Oliveira  1 , Angélica Lemos Debs Diniz  2 , Caio Antônio de Campos Prado  3 , Edson Vieira Da Cunha Filho  4 , Francisco Lázaro Pereira De Souza  5 , Henri Augusto Korkes  6 , José Geraldo Ramos  7 , Maria Laura Costa  8 , Mário Dias Corrêa Junior  9 , Nelson Sass  10 , Ricardo De Carvalho Cavalli  3 , Sérgio Hofmeister De Almeida Martins-Costa  7 , José Carlos Peraçoli  1
Affiliations
Practice Guideline

Pre-eclampsia: Universal Screening or Universal Prevention for Low and Middle-Income Settings?

Leandro Gustavo De Oliveira et al. Rev Bras Ginecol Obstet. 2021 Jan.

Abstract
in English, Portuguese

Pre-eclampsia (PE) is a severe disorder that affects up to 8% of all pregnancies and represents an important cause of maternal and perinatal morbidity and mortality. The screening of the disease is a subject of studies, but the complexity and uncertainties regarding its etiology make this objective a difficult task. In addition, the costs related to screening protocols, the heterogeneity of the most affected populations and the lack of highly effective prevention methods reduce the potential of current available algorithms for screening. Thus, the National Specialized Commission of Hypertension in Pregnancy of the Brazilian Association of Gynecology and Obstetrics Federation (Febrasgo, in the Portuguese acronym) (NSC Hypertension in Pregnancy of the Febrasgo) considers that there are no screening algorithms to be implemented in the country to date and advocates that Aspirin and calcium should be widely used.

A Pré-eclâmpsia (PE) é uma doença grave que acomete ∼ 8% das gestações e representa importante causa de morbimortalidade, tanto materna quanto perinatal. O rastreamento da doença é motivo de estudos, porém a complexidade e as incertezas quanto a sua etiologia tornam esse objetivo bastante difícil. Além disso, os custos relacionados com o rastreamento, a heterogeneidade das populações mais afetadas e ainda a falta de métodos de prevenção de grande eficácia reduzem o potencial dos algoritmos de rastreamento. Assim, a Comissão Nacional Especializada sobre Hipertensão na Gravidez da Federação Brasileira das Associações de Ginecologia e Obstetrícia (CNE Hipertensão na Gravidez da FEBRASGO) considera que não há algoritmos de rastreamento que possam ser aplicados no país nesse momento e defende a utilização dos métodos de prevenção como ácido acetilsalicílico e cálcio de maneira ampla.

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Conflict of interest statement

The authors have no conflict of interests to declare.

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