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

Abstract 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 o...

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Published in:Revista Brasileira de ginecologia e obstetrícia 2021-01, Vol.43 (1), p.61-65
Main Authors: Oliveira, Leandro Gustavo De, Diniz, Angélica Lemos Debs, Prado, Caio Antônio de Campos, Cunha Filho, Edson Vieira Da, Souza, Francisco Lázaro Pereira De, Korkes, Henri Augusto, Ramos, José Geraldo, Costa, Maria Laura, Corrêa Junior, Mário Dias, Sass, Nelson, Cavalli, Ricardo De Carvalho, Martins-Costa, Sérgio Hofmeister De Almeida, Peraçoli, José Carlos
Format: Article
Language:eng ; por
Subjects:
aspirin
calcium
OBSTETRICS & GYNECOLOGY
preeclampsia
prevention
screening
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Summary:Abstract 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.
ISSN:1806-9339
0100-7203
DOI:10.1055/s-0040-1713803