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Primary Health Care-Preeclampsia/Eclampsia Plus Model

Between 2008 and 2014, the Council conducted an implementation research study to evaluate task shifting around the prevention, detection, and management of pre-eclampsia and eclampsia (PE/E) at the primary health care (PHC) level, hereby defined as the PHC PE/E Core Model. The study showed that not only were PHC providers effectively able to carry out this task, but maternal mortality in the intervention group decreased. Core model components included training PHC providers on detection and management of PE/E, administration of a loading dose of MgSO4, referral of women to secondary facilities for monitoring, and reinforcing proper detection and management of PE/E at secondary facilities.

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Resource Type: Brief Nigeria

Engaging women’s groups for improved uptake of antenatal services in Cross River State, Nigeria: An analysis of post-intervention findings

The Ending Eclampsia project aimed to understand the potential of underutilized and promising interventions that increase access to services, particularly improving community referral systems. In Nigeria’s Cross River State, this study tested the feasibility of women’s group leaders delivering health information for PE/E, referral, and other antenatal care (ANC) services to their peers, to increasing access to quality maternal and newborn health services.

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Resource Type: Brief Nigeria

Assessing the feasibility and acceptability of community health extension workers to treat hypertension associated with pregnancy: An analysis of post-intervention findings

This study tested the feasibility of tasking community health extension workers (CHEWs) with detecting and managing hypertension, and prescribing an oral antihypertensive drug – alpha methyldopa (aldomet) – at primary health care (PHC) facilities as part of a package of care for women with pre-eclampsia/eclampsia (PE/E). This evaluation measured improvements in knowledge retention and increases in early detection, prevention, and management of PE/E.

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Resource Type: Brief

Hypertensive disorders of pregnancy: Risk factors and longterm complications

Hypertensive disorders of pregnancy (HDPs), including pre-eclampsia and eclampsia, affect up  to 10% of pregnancies and kill 76,000 women and 500,000 infants every year. These deaths are preventable. Pre-eclampsia can also have a significant impact on the lives and futures of women and their children. Several non-communicable diseases (NCDs) are risk factors for pre-eclampsia and potential long-term complications.

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Resource Type: Country Profile Resource Type: Journal Article Resource Type: Journal Article

Determinants of pre-eclampsia/eclampsia among women attending delivery services in selected public hospitals of Addis Ababa, Ethiopia: A case control study

Pre-eclampsia is a pregnancy-specific hypertensive disorder that usually occurs after 20 weeks of gestation. It is one of the leading causes of maternal and perinatal morbidity and mortality worldwide. In Ethiopia, major direct obstetric complications, including pre-eclampsia/eclampsia (PE/E) account for 85% of the maternal deaths. Unlike deaths due to other direct causes, PE/E-related deaths appear to be increasing and linked to multiple factors, making prevention of the disease a continuous challenge. The aim of this study was to assess determinants of PE/E among women attending delivery services in selected public hospitals in Addis Ababa, Ethiopia.

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Resource Type: Journal Article Resource Type: Journal Article

Institutional maternal and perinatal deaths: a review of 40 low- and middle-income countries

This paper summarizes data from 40 low- and middle-income countries and describes the magnitude of institutional maternal mortality, causes of maternal death and cause-specific case fatality rates, as well as institutional stillbirth and early or pre-discharge neonatal death  rates, in most cases, at the national level. The analysis draws on reports produced over the last decade.

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Resource Type: Journal Article Nigeria