《Preeclampsia-Eclampsia-Jack Ludmir, M.D.》内容预览

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Maternal Mortality in the World

600,000 per year due to pregnancy-related causes

Maternal Mortality

USA: 15/100,000 live births
Mali: 800/100,000 live births

Hemorrhage
Embolism
Preeclampsia
Infection

PRE: History

Eclampsia - Preeclampsia  

2200 BC Egypt: pregnant women with fists
400 BC Hippocrates: pregnant women with convulsions
Eclampsia: Greek word: suddenly, flash
1619: Varardus: first use of word eclampsia
1843: Lever. Proteinuria. Swelling and convulsions: Nephritic toxemia
1897: Vaquez. Hypertension
1899: Strogonov: treatment, sedation
1900s: prenatal care, preeclampsia

Prenatal Care

New concept in the 20th century
1902: Ballantyne. Pro-maternity clinic.
1910: USA. Nursing visits at home.
1920: Prenatal visits: check for hypertension, swelling, proteinuria to detect : Preeclampsia
Maternal mortality reduced in UK from 319/100,000 in 1936 to 15/100,000 in 1985
 

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