Hypertension in pregnancy: a study of the Asia-Oceania region

A review of the management practices and problems surrounding hypertension in pregnancy in the Asia-Oceania region was made. This review was achieved by surveying institutions in the region. Sixteen countries responded to this survey and the results were analysed. Both rural and city hospitals were involved in the survey. The centres were selected by members of the Maternal Perinatal Committee of the Asia-Oceania Federation of Obstetrics and Gynaecology (AOFOG) under whose patronage the survey was performed. Analysis of the survey revealed a number of problems which could be addressed by appropriate educational interventions, these included drug therapies and protocols, deficiencies in governmental support especially in transport and centralised intensive care facilities. Public awareness was also a priority to be addressed. The role of the traditional birth attendant has been increasingly recognised as a resource which could be utilised. This is highlighted in this survey where there are countries who will be dependent on these carers for the next 10 years at least. Their place in the management of hypertension is discussed.