The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.
Global and regional estimates of preeclampsia and eclampsia: a systematic review
Abstract
Reduction of maternal mortality is a target within the Millennium Development Goals. Data on the incidence of preeclampsia and eclampsia, one of the main causes of maternal deaths, are required at both national and regional levels to inform policies. We conducted a systematic review of the incidence of hypertensive disorders of pregnancy (HDP) with the objective of evaluating its magnitude globally and in different regions and settings. We selected studies using pre-specified criteria, recorded database characteristics and assessed methodological quality of the eligible studies reporting incidence of any HDP during the period 2002-2010. A logistic model was then developed to estimate the global and regional incidence of HDP using pre-specified predictor variables where empiric data were not available. We found 129 studies meeting the inclusion criteria, from which 74 reports with 78 datasets reporting HDP were analysed. This represents nearly 39 million women from 40 countries. When the model was applied, the overall estimates are 4.6% (95% uncertainty range 2.7-8.2), and 1.4% (95% uncertainty range 1.0-2.0) of all deliveries for preeclampsia and eclampsia respectively, with a wide variation across regions. The figures we obtained give a general idea of the magnitude of the problem and suggest that some regional variations might exist. The absence of data in many countries is of concern, however, and efforts should be made to implement data collection and reporting for substantial statistics. The implementation of large scale surveys conducted during a short period of time could provide more reliable and up-to-date estimations to inform policy.
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“According to the results of a meta-analysis, the global incidence of preeclampsia is 4.6 % [95 % confidence interval (CI), 2.7–8.2], which varies among different regions, such as 1.0 % in the eastern Mediterranean and 5.6 % in Africa [6].”
From Epidemiological trends of maternal hypertensive disorders of pregnancy at the global, regional, and national levels: a population‐based study (2021) · cites this paper as [6]
In the citing paper
“the highest incidence rates of preeclampsia are observed in upper middle-income countries, whereas eclampsia appears to be more frequent in lower middle-income countries [6].”
From Epidemiological trends of maternal hypertensive disorders of pregnancy at the global, regional, and national levels: a population‐based study (2021) · cites this paper as [6]
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Cites
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WHO analysis of causes of maternal death: a systematic review
Khan, K. S., Wojdyla, D., Say, L., Gülmezoglu, A. M., & Van Look, P. F. (2006) · The Lancet · doi:10.1016/s0140-6736(06)68397-9 · Cited by 3,978 · cited 4×
“In Latin America and the Caribbean HDP represent the highest cause of death, being the second cause in developed countries [1].”
BackgroundMethodInfluentialSelf-citation(2000) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2000.107928 · Cited by 3,278
Magnesium sulphate and other anticonvulsants for women with pre-eclampsia
Duley, L., Gülmezoglu, A. M., Henderson-Smart, D. J., & Chou, D. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000025.pub2 · Cited by 588
Self-citationTrends in maternal mortality: 1990 to 2010. WHO UNICEF UNFPA and the World Bank estimates.
Chou, D., Inoue, M., Mathers, C. D., Ab, M., Oestergaard, M. Z., Say, L., Mills, S. L., Suzuki, E., & Wilmoth, J. (2012) · Cited by 518
Self-citationWHO systematic review of maternal mortality and morbidity: methodological issues and challenges
Gülmezoglu, A. M., Say, L., Betrán, A. P., Villar, J., & Piaggio, G. (2004) · BMC Medical Research Methodology · doi:10.1186/1471-2288-4-16 · Cited by 105
Self-citationAaserud, M., Lewin, S. A., Innvær, S., Paulsen, E., Dahlgren, A., Trommald, M., Duley, L., Zwarenstein, M., & Oxman, A. D. (2005) · BMC Health Services Research · doi:10.1186/1472-6963-5-68 · Cited by 94
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Diretrizes Brasileiras de Hipertensão Arterial – 2020
Barroso, W. K. S., Rodrigues, C. I. S., Bortolotto, L. A., Gomes, M. A. M., Brandão, A. A., Feitosa, A. D. M., Machado, C. A., Poli‐de‐Figueiredo, C. E., Amodeo, C., Mion, D., et al. (2021) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20201238 · Cited by 1,389
Pre-eclampsia: pathogenesis, novel diagnostics and therapies
Phipps, E. A., Thadhani, R., Benzing, T. R., & Karumanchi, S. A. (2019) · Nature Reviews Nephrology · doi:10.1038/s41581-019-0119-6 · Cited by 1,328
Pre-eclampsia: pathophysiology and clinical implications
Burton, G. J., Redman, C. W., Roberts, J. M., & Moffett, A. (2019) · BMJ · doi:10.1136/bmj.l2381 · Cited by 1,250
Dimitriadis, E., Rolnik, D. L., Zhou, W., Estrada‐Gutiérrez, G., Koga, K., Francisco, R. P. V., Whitehead, C. L., Hyett, J. A., Costa, F. D. S., Nicolaides, K. H., et al. (2023) · Nature Reviews Disease Primers · doi:10.1038/s41572-023-00417-6 · Cited by 1,082
Chappell, L. C., Cluver, C. A., Kingdom, J. C., & Tong, S. (2021) · The Lancet · doi:10.1016/s0140-6736(20)32335-7 · Cited by 1,013
Metadata
- Authors
- Abalos, E., Cuesta, C., Grosso, A. L., Chou, D., & Say, L.
- Affiliations
- Centro Rosarino de Estudios Perinatales (AR)
- World Health Organization (CH)
- Corresponding author
- Abalos, Edgardo
- Venue
- European Journal of Obstetrics & Gynecology and Reproductive Biology
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 170
- Issue
- 1
- Pages
- 1-7
- ISSN
- 0028-2243 (ISSN-L)
- 0301-2115
- OpenAlex
- W2092155853
- Cited by
- 1,574
- References
- 8
- Citations by year
- 2026: 127 · 2025: 151 · 2024: 188 · 2023: 231 · 2022: 208 · 2021: 195 · 2020: 160 · 2019: 91 · 2018: 68 · 2017: 49 · 2016: 55 · 2015: 28 · 2014: 19 · 2013: 1
- FWCI
- 5.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Obstetrics & Gynecology and Reproductive Biology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bill and Melinda Gates Foundation
- UNICEF
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Clinical Neurology › Neurological Complications and Syndromes
- Keywords
- preeclampsia, eclampsia, hypertensive disorders of pregnancy, incidence estimation, global incidence, regional variation, maternal mortality, Millennium Development Goals
- MeSH terms
- Eclampsia, Female, Humans, Pre-Eclampsia, Pregnancy, Incidence, Internationality
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