Public health perspectives of preeclampsia in developing countries: implication for health system strengthening.
Public health perspectives of preeclampsia in developing countries: implication for health system strengthening.
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DOI：
10.1155/2011/481095
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发表时间：
2011
影响因子：
3.2
通讯作者：
Ige OK
中科院分区：
文献类型：
--
作者：
Osungbade KO;Ige OK
目标.回顾发展中国家先兆子痫的公共卫生观点及其对加强卫生系统的影响。 方法.对Pubmed（MEDLINE）、AJOL、Google Scholar和科克伦数据库中的文献进行了综述。 结果先兆子痫在发展中国家的患病率为1.8%至16.7%。在先兆子痫的预测、预防和管理方面存在许多挑战。有希望的预防措施，如低剂量阿司匹林和钙补充剂，在推荐用于发展中国家之前需要进一步的证据。治疗仍然是产前护理、及时诊断、适当管理和及时分娩。在这些国家，家庭、社区和卫生系统的主要因素限制了对先兆子痫的有效控制，并强调了加强卫生系统的战略。 结论克服发展中国家控制先兆子痫的普遍挑战取决于卫生保健系统识别和管理高风险妇女的能力。
Objectives. Review of public health perspectives of preeclampsia in developing countries and implications for health system strengthening. Methods. Literature from Pubmed (MEDLINE), AJOL, Google Scholar, and Cochrane database were reviewed. Results. The prevalence of preeclampsia in developing countries ranges from 1.8% to 16.7%. Many challenges exist in the prediction, prevention, and management of preeclampsia. Promising prophylactic measures like low-dose aspirin and calcium supplementation need further evidence before recommendation for use in developing countries. Treatment remains prenatal care, timely diagnosis, proper management, and timely delivery. Prevailing household, community, and health system factors limiting effective control of preeclampsia in these countries were identified, and strategies to strengthen health systems were highlighted. Conclusion. Overcoming the prevailing challenges in the control of preeclampsia in developing countries hinges on the ability of health care systems to identify and manage women at high risk.
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