Hermanto Tri Joewono (2020) We Need More Aggressive Early Antenatal Care for Preeclampsia in Low Resource Primary Care Setting. EC Clinical and Medical Case Reports, 3 (7). pp. 188-197.

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Abstract

Preeclampsia even though is still number one lady killer, until recently the pathophysiology is not completely understood and hence the management is only screening, low dose aspirin and induce labor. The problems are so big, with so little options: Screening is so expensive, multi-markers and not user friendly. Antenatal care are voluntary and if suffered from PE, the pregnancy will be induced at 37 week of pregnancy. We propose new model of antenatal Care through aggressive management by active HRP findings, Low dose aspirin, closed mentoring and maternity waiting homes not waiting in the clinic and let the couples make voluntary antenatal care. There will be 7 maternal characteristics items(age, previous PE, born as IUGR baby, first degree relative, interpregnancy interval, primpaternity, history of medical disorders) and two biophysical markers (Body Mass Index, Mean Arterial Pressure) as candidates for markers as high risk pregnancy for preeclampsia.

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