Abstract

Background Pre-eclampsia is one of the leading causes of maternal death and morbidity in low-resourced countries due to delays in case identification and a shortage of health workers trained to manage the disorder. The objective of the PIERS on the Move (POM) project was to provide mid-level health workers with an evidence-based and low-cost decision aid to improve diagnosis and management of pre-eclampsia, to improve outcomes.

Highlights

  • Pre-eclampsia is one of the leading causes of maternal death and morbidity in low-resourced countries due to delays in case identification and a shortage of health workers trained to manage the disorder

  • The PIERS on the Move (POM) application was used to collect a prospective cohort of women admitted to hospital with an hypertensive disorders of pregnancy (HDP) in South Africa and Pakistan

  • Between 1 January 2011 and 31 March 2012, 617 women were recruited to the study in Pakistan, while 235 women were recruited in South Africa between 1 November 2012 and 31 December 2013, creating a total cohort of 852 women of whom 119 (14.0%) experienced one or more component of a composite adverse maternal outcome within 48 hours of admission

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Summary

Open Access

Designing an evidence-based mobile health decision aid for the management of hypertensive disorders of pregnancy (HDP) in low-resourced settings. Beth Payne1*, Dustin Dunsmuir, David Hall, Joanne Lim, Rozina Sikandar, Laura Magee, Rahat Qureshi, Mark Ansermino, Peter von Dadelszen. From Health Services Research: Evidence-based practice London, UK. From Health Services Research: Evidence-based practice London, UK. 1-3 July 2014

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