Moodley J
Department of Obstetrics and Gynaecology, University of KwaZulu Natal, Durban, South Africa.
Best Pract Res Clin Obstet Gynaecol. 2008 Jun;22(3):559-67. doi: 10.1016/j.bpobgyn.2007.11.004. Epub 2008 Feb 20.
Hypertensive disorders of pregnancy (HDP) are one of the most common direct causes of maternal mortality worldwide. Cerebral haemorrhage is the main final cause of hypertensive deaths and probably implies that doctors are reluctant to treat sustained high blood pressure effectively during pregnancy. Maternal deaths from HDP can probably be reduced markedly by: (1) promoting antenatal care and instituting a recall system for defaulters; (2) instituting regional centres and regional obstetricians to provide advice on, or care for, women with severe pre-eclampsia; (3) educating health professionals through continuing professional education and the use of clinical guidelines of management; and (4) informing the general public on complications associated with the pre-eclampsia/eclampsia syndrome.
妊娠期高血压疾病（HDP）是全球孕产妇死亡最常见的直接原因之一。脑出血是高血压导致死亡的主要最终原因，这可能意味着医生在孕期不愿有效治疗持续的高血压。通过以下措施可能显著降低HDP导致的孕产妇死亡：（1）推广产前保健并建立对未就诊者的召回系统；（2）设立区域中心和区域产科医生，为重度子痫前期妇女提供建议或护理；（3）通过继续职业教育和使用管理临床指南对卫生专业人员进行培训；（4）向公众宣传与子痫前期/子痫综合征相关的并发症。
