{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T11:33:15Z","timestamp":1789471995608,"version":"build-2803163510"},"reference-count":51,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,6,17]],"date-time":"2023-06-17T00:00:00Z","timestamp":1686960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To discuss the points that still challenge low\u2010 and middle\u2010income countries (LMICs) and strategies that have been studied to help them overcome these issues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Narrative review addressing 20\u2009years of articles concerning pre\u2010eclampsia morbidity and mortality in LMICs. We summarized evidence\u2010based strategies to overcome the challenges in order to reduce the pre\u2010eclampsia impact on perinatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Pre\u2010eclampsia is the first or second leading cause in the ranking of avoidable causes of maternal death, and approximately 16% of all maternal deaths are attributable to eclampsia and pre\u2010eclampsia. Considering the social and economic contexts, it represents a major public health concern, and prevention and early detection of pre\u2010eclampsia seem to be a major challenge. Reducing maternal mortality related to hypertensive disturbances depends on public policies to manage these preventable conditions. Early and continuous recognition of signs of severity related to hypertensive disorders during pregnancy and childbirth, self\u2010monitoring of symptoms and blood pressure, as well as preventive approaches such as aspirin and calcium, and magnesium sulfate, are lifesaving procedures that have not yet reached a universal scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This review provides a vision of relevant points to support pregnant women in overcoming the constraints to healthcare access in LMICs, and strategies that can be applied in primary prenatal care units.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.14913","type":"journal-article","created":{"date-parts":[[2023,6,17]],"date-time":"2023-06-17T04:34:45Z","timestamp":1686976485000},"page":"33-39","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Pre\u2010eclampsia in low and middle\u2010income settings: What are the barriers to improving perinatal outcomes and evidence\u2010based recommendations?"],"prefix":"10.1002","volume":"164","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5957-4365","authenticated-orcid":false,"given":"Jussara","family":"Mayrink","sequence":"first","affiliation":[{"name":"Federal University of Minas Gerais Department of Obstetrics and Gynecology  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zilma Silveira Nogueira","family":"Reis","sequence":"additional","affiliation":[{"name":"Federal University of Minas Gerais Department of Obstetrics and Gynecology  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69385-9"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-021-01535-x"},{"issue":"2","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-056130","article-title":"Exploring digital health interventions for pregnant women at high risk for pre\u2010eclampsia and eclampsia in low\u2010income and\u2010middle\u2010income countries: a scoping review","volume":"12","author":"ShahilFeroz A","year":"2022","journal-title":"BMJ Open"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.08.045"},{"issue":"2","key":"e_1_2_9_6_1","first-page":"126","article-title":"The role of serum potassium and sodium levels in the development of postpartum hemorrhage. 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