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Improving the Outcomes for Women Who Develop Preeclampsia: What Can the Midwife Do?

by Isabella Garti, RM, BSN, MN
  • Duration: 60 Mins
  • Credits: 1 CERP, 1 R-CERP, 0.1 Midwifery CEU
  • Handout: Yes
Abstract:

Pre-eclampsia, a complex hypertensive disorder of pregnancy is the second leading cause of global maternal mortality affecting about 8% of pregnancies. Although there are more positive outcomes for women who develop pre-eclampsia in Europe, North America and Australia, there are far more devastating consequences in Low- and Middle-Income Countries (LMIC’s). To improve the outcomes and ultimately achieve the Sustainable Development Goals (SDG’s), effective care is recommended for all women who develop pre-eclampsia, and this should be based on high quality guidelines to facilitate prompt identification and management. As front-line maternity service providers, midwives are instrumental in reducing maternal and neonatal deaths from all complications including pre-eclampsia. Across the continuum of care, midwives have the potential to save over 30% of women who develop pre-eclampsia and eclampsia. Depending on the setting, midwives may assess, diagnose, initiate, and coordinate care for women who develop pre-eclampsia within regulated practice frameworks and in agreement with international practice standards. This presentation will highlight the burden of pre-eclampsia and discuss the current care recommendations during the antenatal, intrapartum, and postpartum periods. Practical application strategies in LMIC’s will be emphasized in the context of WHO’s quality care framework.

Learning Objectives:

1. Describe recent changes in classification and diagnostic criteria of pre-eclampsia.

2. Identify highlights of current care for women with pre-eclampsia or eclampsia.

3. Discuss possible difficulties in the treatment process in developing countries.

4. Discuss how the use of best practice recommendations will reduce maternal mortality and morbidity.

Presentations: 1  |  Hours / CE Credits: 1  |  Viewing Time: 2 Weeks
Presentations: 16  |  Hours / CE Credits: 14.5  |  Viewing Time: 8 Weeks