Evidence map›Paper›PMID 39354425›Full record

ArticleBMC pregnancy and childbirth2024

Synthesis of evidence for managing hypertensive disorders of pregnancy in low middle-income countries: a scoping review.

María Fernanda Escobar, Nicole Benitez-Díaz, Isabella Blanco-Londoño, Catalina Cerón-Garcés, Evelyn E Peña-Zárate, Lizbeth A Guevara-Calderón, Laura Libreros-Peña, Juan Sebastián Galindo

Abstract readScoping Review
In one paragraph

Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. Nurses' knowledge to identify, prevent and manage hypertensive disorder of pregnancy.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

María Fernanda EscobarDepartamento de Ginecología y Obstetricia, Fundación Valle del Lili, Cra 98 No. 18 - 49, 760032, Cali, Colombia. maria.escobar.vi@fvl.org.co.
Nicole Benitez-DíazFacultad de Ciencias de La Salud, Universidad Icesi, Calle 18 No. 122 -135, Cali, Colombia.
Isabella Blanco-LondoñoFacultad de Ciencias de La Salud, Universidad Icesi, Calle 18 No. 122 -135, Cali, Colombia.
Catalina Cerón-GarcésCentro de Investigaciones Clínicas, Fundación Valle del Lili, Cra 98 No. 18 - 49, 760032, Cali, Colombia.
Evelyn E Peña-ZárateCentro de Investigaciones Clínicas, Fundación Valle del Lili, Cra 98 No. 18 - 49, 760032, Cali, Colombia.
Lizbeth A Guevara-CalderónCentro de Investigaciones Clínicas, Fundación Valle del Lili, Cra 98 No. 18 - 49, 760032, Cali, Colombia.
Laura Libreros-PeñaCentro de Investigaciones Clínicas, Fundación Valle del Lili, Cra 98 No. 18 - 49, 760032, Cali, Colombia.
Juan Sebastián GalindoFacultad de Ciencias de La Salud, Universidad Icesi, Calle 18 No. 122 -135, Cali, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesHypertensive disorders of pregnancy (HDPs) remain one of the leading causes of maternal mortality globally, especially in Low- and middle-income countries (LMICs). To reduce the burden of associated morbidity and mortality, standardized prompt recognition, evaluation, and treatment have been proposed. Health disparities, barriers to access to healthcare, and shortage of resources influence these conditions. We aimed to synthesize the literature evidence for the management of HDPs in LMICs.

methodsA scoping review was conducted in five databases (PubMed, Web of Science, Epistemonikos, Clinical Key and, Scielo) using MeSh terms, keywords, and Boolean connectors. We summarized the included studies according to the following categories: study design, objectives, settings, participant characteristics, eligibility criteria, interventions, assessed outcomes, and general findings.

resultsSix hundred fifty-one articles were retrieved from the literature search in five databases. Following the selection process, 65 articles met the predefined eligibility criteria. After performing a full-text analysis, 27 articles were included. Three themes were identified from the articles reviewed: prevention of HDPs, management of HDPs (antihypertensive and non-hypertensive management) and pregnancy monitoring and follow-up. The topics were approached from the perspective of LMICs.

conclusionsLMICs face substantial limitations and obstacles in the comprehensive management of HDPs. While management recommendations in most LMICs align with international guidelines, several factors, including limited access to crucial medications, unavailability of diagnostic tests, deficiencies in high-quality healthcare infrastructure, restrictions on continuing professional development, a shortage of trained personnel, community perceptions of preeclampsia, and outdated local clinical practice guidelines, impede the comprehensive management of patients. The development and implementation of protocols, standardized guides and intervention packages are a priority.

Indexed as

Developing CountriesHypertension, Pregnancy-InducedAntihypertensive AgentsFemaleHealth Services AccessibilityHumansPregnancyAntihypertensive AgentsDeveloping CountriesEclampsiaLow- and middle-income countriesPre-EclampsiaPregnancy

Identifiers

PMID39354425
PMCPMC11443752

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.