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Pre-eclampsia: Universal Screening or Universal Prevention for Low and Middle-Income Settings?
Leandro Gustavo De Oliveira1, Angélica Lemos Debs Diniz2, Caio Antônio de Campos Prado3
1Department of Gynecology and Obstetrics, Botucatu Medical School, Universidade Estadual Paulista "Júlio de Mesquita Filho," Botucatu, SP, Brazil.
Pre-eclampsia screening remains challenging due to complex causes and high costs. Current algorithms are limited, leading experts to advocate for widespread Aspirin and calcium use in pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Hypertension in Pregnancy
Background:
- Pre-eclampsia (PE) affects up to 8% of pregnancies, causing significant maternal and perinatal morbidity and mortality.
- Screening for PE is complicated by its uncertain etiology, high costs, population heterogeneity, and limited prevention methods.
- Current screening algorithms have reduced potential for widespread implementation.
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