Challenges of Prevention and Treatment of Pre-Eclampsia and Eclampsia and Rapid Implementations of Recommendations is A Part of Great Success

Dritan Shpati and Kleva Shpati
Albanian University

Abstract

Introduction: Hypertensive disorders of pregnancy are an important cause of severe morbidity, long term disability and death among both mothers and their babies. The WHO Technical Consultation made a total of 23 new recommendations and I am briefing describing how they are implemented in our University clinic of Obstetrics and Gynecology ‘ Mbretëresha Geraldinë “ in Tirana. The goal of my study is to compere the present guidelines and how to improve the quality of care and outcomes for pregnant women presenting with pre-eclampsia and its main complications in our University clinic. Methods This is a review of knowledge-to-action project entitled GREAT with the process described in the WHO Handbook for guideline and how they are implemented in our university clinic. Results : The data collected shows us that mostly of them already in power in implemented , but some other need to be implemented as a necessary part for the preeclampsia treatments. Calcium intake is low, during pregnancy needs to be improved. In women with severe pre-eclampsia, a viable fetus and before 34 weeks of gestation, a policy of expectant management is recommended, provided that uncontrolled maternal hypertension, increasing maternal organ dysfunction or fetal distress are absent and can be monitored closely by Doppler Ultrasounds. Conclusions: Evidence-based management of pre-eclampsia and eclampsia can be achieved with the use of relatively inexpensive drugs. The guidelines and especially the WHO recommendations for this purpose should be noted that the following issues should be considered by applying immediately in our actually clinic protocol. Key words: pre-eclampsia, eclampsia, recommendation, doppler ultrasounds, pregnancy

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