ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 217
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Recognition of pre-eclampsia in primary health care:
An integrative review
Dr Eros Albuquerque Freitas, Athena Agatha Albuquerque
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City Hall’s Araucária
Preeclampsia is a complication of pregnancy characterised by arterial hypertension and proteinuria,
which may have serious maternal/perinatal consequences, including death. Primary healthcare (PHC)
plays an important role critical in disease identification/management, being responsible for providing
prenatal care, in addition to being considered the gateway to the health system.
Objective
To identify how the diagnosis of pre-eclampsia can be performed early in the APS.
Methods
An integrative review study, the data search took place between 25 November 2022 and 17 February
2023 in the databases BVS and PubMed.
Results
The search identified 134 articles, of which 13 were selected after applying the inclusion/exclusion/
removal criteria of repeated articles. Analysed studies include investigation of maternal clinical signs/
symptoms, BP measurement/proteinuria. Risk factors include obesity/hypertension. The glycated
hemoglobin (HbA1c) ≥5.9%, without antecedent or subsequent prediabetes, also appeared as
a probable risk factor. The failures of the APS detection include inadequate infrastructure/lack of
equipment/shortage of trained professionals/insufficient knowledge about pre-eclampsia/absence
training and lack of effective counselling for pregnant women. With regard to women, financial barriers/
distance to health facilities also make prenatal care difficult. Health literacy is key for the pregnant
woman’s participation in prenatal care and home visits have positive effects on pregnancy outcomes.
The factors associated with the control of BP during pregnancy include age/social status/residence
and education. Self-monitoring of blood pressure by pregnant women increases the participation
in prenatal visits, with clinical-like readings and are well accepted. The use of a digital platform
for telemonitoring the BP of the pregnant women can reduce costs and have maternal/perinatal
outcomes similar to those of frequent clinic visits.
Conclusions
Reduction of morbidity and mortality due to pre-eclampsia requires training of PHC professionals/
appropriate guidance for pregnant women/investment in infrastructure/availability of equipment for
early diagnosis/effective treatment. In addition health literacy and home visits help pregnant women
participate in prenatal care and positively impact maternal/neonatal health outcomes.
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