GHSP: Management of Preeclampsia

17 September, 2019

Dear HIFA colleagues,

A new paper from Bangladesh and a linked editorial conclude that 'Magnesium sulfate is not a silver bullet to reduce maternal mortality associated with preeclampsia/eclampsia. We believe a well-functioning health care system, especially at the hospital level, with competent well-trained providers, adequate equipment, and medications will likely be necessary.' (The same could be said about virtually every medicine. The ability to correctly assess a patient and make informed clinical decisions is a prerequisite for appropriate selection and use of medicines. This is why we set up the HIFA working group on Information for Prescribers and Users of Medicines - currently supported by Nagasaki University and London School of Hygiene and Tropical Medicine, and seeking a new sponsor to continue our work in 2020 - http://www.hifa.org/projects/prescribers-and-users-medicines )

1. Field action report: Management of Preeclampsia, Severe Preeclampsia, and Eclampsia at Primary Care Facilities in Bangladesh

Anna Williams, Marufa Aziz Khan, Mohammed Moniruzzaman, Sk Towhidur Rahaman, Imteaz Ibne Mannan, Joseph de Graft-Johnson, Iftekhar Rashid, Barbara Rawlins

Global Health: Science and Practice Advance Access articles for September 16, 2019

http://www.ghspjournal.org/content/early/2019/09/16/GHSP-D-19-00124

'Program introduction, including cascade training, to screen for severe preeclampsia and eclampsia and initiate treatment with magnesium sulfate was somewhat successful. Challenges included inconsistent adherence to the national protocol, data quality, and some issues with supplies and equipment.'

2. Editorial: It Takes a System: Magnesium Sulfate for Prevention of Eclampsia in a Resource-Limited Community Setting

Robert L. Goldenberg, Elizabeth M. McClure

Global Health: Science and Practice Advance Access articles for September 16, 2019

http://www.ghspjournal.org/content/early/2019/09/16/GHSP-D-19-00261

'Magnesium sulfate is not a silver bullet to reduce maternal mortality associated with preeclampsia/eclampsia. We believe a well-functioning health care system, especially at the hospital level, with competent well-trained providers, adequate equipment, and medications will likely be necessary.'

Best wishes, Neil

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HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health campaign (Healthcare Information For All - www.hifa.org ), a global community with almost 20,000 members in 180 countries, interacting on six global forums in four languages (English, French, Spanish, Portuguese). Twitter: @hifa_org FB: facebook.com/HIFAdotORG neil@hifa.org