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CC BY 4.0 · Rev Bras Ginecol Obstet 2021; 43(01): 061-065
DOI: 10.1055/s-0040-1713803
Clinical Consensus Recommendation

Pre-eclampsia: Universal Screening or Universal Prevention for Low and Middle-Income Settings?

Pré-eclâmpsia: Rastreamento universal ou prevenção universal para países de baixa e média-renda?
Leandro Gustavo De Oliveira 
1   Department of Gynecology and Obstetrics, Botucatu Medical School, Universidade Estadual Paulista “Júlio de Mesquita Filho,” Botucatu, SP, Brazil
,
Angélica Lemos Debs Diniz 
2   Department of Obstetrics and Gynecology, Faculty of Medicine, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil
,
Caio Antônio de Campos Prado 
3   Department of Gynecology and Obstetrics, Faculty of Medicine, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
,
Edson Vieira Da Cunha Filho 
4   Gynecology and Obstetrics Training Center, School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil
,
Francisco Lázaro Pereira De Souza 
5   Department of Tocoginecology, Centro Universitário Lusíada, Santos, SP, Brazil
,
Henri Augusto Korkes 
6   Department of Obstetrics and Gynecology, Faculty of Medicine, Pontifícia Universidade Católica de São Paulo, Sorocaba, SP, Brazil
,
José Geraldo Ramos 
7   Department of Gynecology and Obstetrics, Faculty of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
,
Maria Laura Costa 
8   Department of Gynecology and Obstetrics, Faculty of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil
,
Mário Dias Corrêa Junior 
9   Department of Gynecology and Obstetrics, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Nelson Sass 
10   Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil
,
Ricardo De Carvalho Cavalli 
3   Department of Gynecology and Obstetrics, Faculty of Medicine, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
,
Sérgio Hofmeister De Almeida Martins-Costa 
7   Department of Gynecology and Obstetrics, Faculty of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
,
José Carlos Peraçoli 
1   Department of Gynecology and Obstetrics, Botucatu Medical School, Universidade Estadual Paulista “Júlio de Mesquita Filho,” Botucatu, SP, Brazil
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Abstract

Pre-eclampsia (PE) is a severe disorder that affects up to 8% of all pregnancies and represents an important cause of maternal and perinatal morbidity and mortality. The screening of the disease is a subject of studies, but the complexity and uncertainties regarding its etiology make this objective a difficult task. In addition, the costs related to screening protocols, the heterogeneity of the most affected populations and the lack of highly effective prevention methods reduce the potential of current available algorithms for screening. Thus, the National Specialized Commission of Hypertension in Pregnancy of the Brazilian Association of Gynecology and Obstetrics Federation (Febrasgo, in the Portuguese acronym) (NSC Hypertension in Pregnancy of the Febrasgo) considers that there are no screening algorithms to be implemented in the country to date and advocates that Aspirin and calcium should be widely used.

Resumo

A Pré-eclâmpsia (PE) é uma doença grave que acomete ∼ 8% das gestações e representa importante causa de morbimortalidade, tanto materna quanto perinatal. O rastreamento da doença é motivo de estudos, porém a complexidade e as incertezas quanto a sua etiologia tornam esse objetivo bastante difícil. Além disso, os custos relacionados com o rastreamento, a heterogeneidade das populações mais afetadas e ainda a falta de métodos de prevenção de grande eficácia reduzem o potencial dos algoritmos de rastreamento. Assim, a Comissão Nacional Especializada sobre Hipertensão na Gravidez da Federação Brasileira das Associações de Ginecologia e Obstetrícia (CNE Hipertensão na Gravidez da FEBRASGO) considera que não há algoritmos de rastreamento que possam ser aplicados no país nesse momento e defende a utilização dos métodos de prevenção como ácido acetilsalicílico e cálcio de maneira ampla.

Keywords

preeclampsia - screening - prevention - aspirin - calcium

Palavras-chave

pré-eclâmpsia - rastreamento - prevenção - ácido acetilsalicílico - cálcio

Contributions

All authors contributed equally for the production of the present manuscript and fulfilled with the criteria for scientific authorship of the International Committee of Medical Journal Editors (ICMJE).




Publication History

Received: 01 April 2020

Accepted: 07 May 2020

Article published online:
29 January 2021

© 2021. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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