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


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Brazilian Federation of Gynecology and Obstetrics (FEBRASGO)

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.

Univ Estadual Paulista, Botucatu Med Sch, Dept Gynecol & Obstet, Botucatu, SP, Brazil

Univ Fed Uberlandia, Fac Med, Dept Obstet & Gynecol, Uberlandia, MG, Brazil

Univ Sao Paulo, Fac Med, Dept Gynecol & Obstet, Ribeirao Preto, SP, Brazil

Pontificia Univ Catolica Rio Grande do Sul, Gynecol & Obstet Training Ctr, Sch Med, Porto Alegre, RS, Brazil

Ctr Univ Lusiada, Dept Tocoginecol, Santos, SP, Brazil

Pontificia Univ Catolica Sao Paulo, Fac Med, Dept Obstet & Gynecol, Sorocaba, SP, Brazil

Univ Fed Rio Grande do Sul, Fac Med, Dept Gynecol & Obstet, Porto Alegre, RS, Brazil

Univ Estadual Campinas, Fac Med Sci, Dept Gynecol & Obstet, Campinas, SP, Brazil

Univ Fed Minas Gerais, Fac Med, Dept Gynecol & Obstet, Belo Horizonte, MG, Brazil

Univ Fed Sao Paulo, Escola Paulista Med, Sao Paulo, SP, Brazil

Univ Estadual Paulista, Botucatu Med Sch, Dept Gynecol & Obstet, Botucatu, SP, Brazil

Tipo de Documento Artigo científico
Idioma Inglês
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