Author/Editor     Šajina-Stritar, B
Title     Effectiveness of detecting and preventing preeclampsia in Slovenia
Type     članek
Source     In: Novak-Antolič Ž, editor. Učinkovitost predporodnega varstva v Sloveniji. Zbornik prispevkov 7. Novakovi dnevi; 2000 jun 1-3; Moravske Toplice. Ljubljana: Slovensko zdravniško društvo, Združenje za perinatalno medicino,
Publication year     2000
Volume     str. 57-68
Language     eng
Abstract     Every year in Slovenia approximately 5% of pregnant woman have gestosis, half of them have preeclampsia (PE). In the last ten years perinatal mortality rate in the group of patients with gestosis has been gradually falling. In the last few years the perinatal mortality rate in the group of patients with gestosis is not significantly higher than in the population of other pregnant women, although there must be differences regarding the severity of the disease. No data about the mode and effectiveness of detecting PE in Slovenia are available. The data about therapy with acetylsalycylic acid during pregnancy from the National Perinatal Information System are the only available data about the mode of prevention of PE. The data about the effectiveness of PE prevention in Slovenia are not available. The detection, prevention and treatment of PE will be ineffective as long as the etiology and early development of the disease is not completely known. Prenatal care can identify populations at risk. Close follow up can help in early diagnosis, and the development of complications can be prevented with appropriate treatment and interventions. Doppler blood flow velocity analysis of the uterine arteries at the end of 24th week of gestation has been the most useful test for detecting groups at risk for PE. Low-dose acetylsalycylic acid is moderately effective for the prevention of PE in high-risk groups of patients for early-onset of the disease. Introduction. Gestosis is a disease present only when chorionic tissue is present, which usually happens in pregnancy. Gestosis is derived from gestatio, which means pregnancy and -osis, which denominates a disturbance (1). There are quite a few classifications of hypertensive diseases in pregnancy. In Slovenia the ISSHP classification is used (2). HELLP syndrome is not included in this classification. Epidemiology. (Abstract truncated at 2000 characters).
Descriptors     PRE-ECLAMPSIA
ULTRASONOGRAPHY, PRENATAL
PREGNANCY
INFANT MORTALITY
ASPIRIN
RISK FACTORS
PLACENTAL INSUFFICIENCY
ULTRASONOGRAPHY, DOPPLER, DUPLEX
BLOOD FLOW VELOCITY
DIET