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Healthcare 2016, 4(2), 26; doi:10.3390/healthcare4020026

Preeclampsia-Eclampsia Adverse Outcomes Reduction: The Preeclampsia-Eclampsia Checklist

College of Graduate Health Studies, A. T. Still University, Mesa, AZ 85206, USA
Academic Editor: Sampath Parthasarathy
Received: 9 April 2016 / Revised: 5 May 2016 / Accepted: 6 May 2016 / Published: 13 May 2016
View Full-Text   |   Download PDF [206 KB, uploaded 13 May 2016]

Abstract

Globally, preeclampsia-eclampsia (PE-E) is a major cause of puerperal intensive care unit admission, accounting for up to 10% of maternal deaths. PE-E primary prevention is possible. Antepartum low-dose aspirin prophylaxis, costing USD $10–24 can cut the incidence of PE-E in half. Antepartum low molecular weight heparin combined with low-dose aspirin prophylaxis can cut the incidence of early onset PE-E and fetuses that are small for their gestational age in half. Despite predictive antepartum models for PE-E prophylaxis, said prophylaxis is not routinely provided. Therefore, magnesium sulfate secondary prevention of eclampsia remains the globally recommended intervention. Implementation of a PE-E checklist is a continuous quality improvement (CQI) tool facilitating appropriate antepartum PE-E prophylaxis and maternal care from the first trimester through the postpartum fourth trimester inter-partum interval. A novel clinical PE-E checklist and implementation strategy are presented below. CQI PE-E checklist implementation and appropriate PE-E prophylaxis provides clinicians and healthcare systems an opportunity to achieve Millennium Development Goals 4 and 5, reducing child mortality and improving maternal health. While CQI checklist implementation may be a tedious ongoing process requiring healthcare team resiliency, improved healthcare outcomes are well worth the effort. View Full-Text
Keywords: preeclampsia-eclampsia; prophylaxis; checklist; continuous quality improvement; implementation; patient safety; quality care preeclampsia-eclampsia; prophylaxis; checklist; continuous quality improvement; implementation; patient safety; quality care
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Nwanodi, O.B. Preeclampsia-Eclampsia Adverse Outcomes Reduction: The Preeclampsia-Eclampsia Checklist. Healthcare 2016, 4, 26.

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