title: Improving maternal and perinatal outcomes in the hypertensive disorders of pregnancy: a vision of a community-focused approach.
abstract: The hypertensive disorders of pregnancy (HDP; pre-existing hypertension, gestational hypertension, and pre-eclampsia) remain important causes of maternal morbidity and mortality, especially in low- and middle-income countries. The paper summarizes the current state of evidence around possible technologies to support community-based improvements in maternal and perinatal outcomes for women with pre-eclampsia. Through the testing and, where proven, introduction of these technologies, we believe that HDP-related progress toward achieving Millennium Development Goal 5 can best be accelerated. The evidence and discussion are presented under the following headings: (1) prediction; (2) prevention; (3) diagnosis; (4) risk stratification; (5) decision aids; (6) treatment; (7) geographic information systems; (8) communication; and (9) community and patient education.
authors.affiliation: Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada. pvd@cw.bc.ca
authors.forename: Peter
authors.initials: P
authors.lastname: von Dadelszen
authors.forename: J Mark
authors.initials: JM
authors.lastname: Ansermino
authors.forename: Guy
authors.initials: G
authors.lastname: Dumont
authors.forename: G Justus
authors.initials: GJ
authors.lastname: Hofmeyr
authors.forename: Laura A
authors.initials: LA
authors.lastname: Magee
authors.forename: Matthews
authors.initials: M
authors.lastname: Mathai
authors.forename: Diane
authors.initials: D
authors.lastname: Sawchuck
authors.forename: Kate
authors.initials: K
authors.lastname: Teela
authors.forename: France
authors.initials: F
authors.lastname: Donnay
authors.forename: James M
authors.initials: JM
authors.lastname: Roberts
mesh_terms: D003142:Communication; D003153:Community Health Services / Q000379:methods*; D003657:Decision Making; D003906:Developing Countries; D005260:Female; D040362:Geographic Information Systems; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D046110:Hypertension, Pregnancy-Induced / Q000175:diagnosis / Q000628:therapy*; D008428:Maternal Mortality; D010353:Patient Education as Topic; D011225:Pre-Eclampsia / Q000175:diagnosis / Q000628:therapy; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000628:therapy*; D011256:Pregnancy Outcome