Dr. Isabella Garti is an early-career midwifery researcher with over 15 years of midwifery practice, education and research experience. Isabella has a keen interest in addressing health service disparities and improving the quality of midwifery care for women who develop pre-eclampsia in poorly resourced settings. Her doctoral study shed light on numerous challenges faced by midwives in managing preeclampsia within low and middle-income countries.
Isabella is passionate about researching evidence-based practice, midwifery-led care, culturally safe maternity care, undergraduate midwifery education, and innovative continuing professional development approaches. Currently she is exploring translating her findings into practice through innovative training programs for midwives.
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.
Preeclampsia remains a significant challenge in maternal healthcare, demanding careful attention and informed approaches during labour and birth. Drawing from a wealth of practical knowledge and research, this presentation navigates the complexities of preeclampsia management, emphasizing the importance of timely, evidence-based interventions, patient-centred care, and collaborative teamwork. By distilling key findings and best practices, this presentation aims to empower healthcare professionals with the knowledge and tools necessary to optimize clinical management and improve outcomes for mothers and infants affected by preeclampsia during labour and birth. It also aims to empower women and their families with information on what to expect and to enhance their advocacy efforts, especially in low- and middle-income countries.
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