Journal
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY
Volume 36, Issue -, Pages 83-102Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.bpobgyn.2016.05.005
Keywords
pregnancy hypertension; maternal mortality; societal interventions; medical interventions
Categories
Funding
- Bill & Melinda Gates Foundation
- Canadian Institutes of Health Research
- Saving Lives at Birth
- Grand Challenges Canada
- World Health Organization
- US AID
- International Federation of Gynecologists and Obstetricians
- Rockefeller Foundation
- Michael Smith Foundation for Health Research
- UBC Child & Family Research Institute
- BC Women's Hospital and Health Centre
- Society of Obstetricians and Gynaecologists of Canada
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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. (C) 2016 The Authors. Published by Elsevier Ltd.
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