School of Nursing
preeclampsia, CLIP, third world, nurse, missionary nurse, pregnancy, hypertension, thesis, community
Maternal, Child Health and Neonatal Nursing | Nursing Midwifery | Public Health and Community Nursing
Lovin, Anna, "A Practical Understanding of Preeclampsia for a Nurse in a Third World Setting" (2019). Senior Honors Theses. 877.
Preeclampsia is a disease of pregnancy that affects approximately 3-5% of women with child. It is one of the primary causes of mortality in mothers and babies across the globe. The exact cause, pathogenesis, or disease progression is unknown. Therefore, there is no definition of which patients are at risk for developing preeclampsia and what can work as a preventative measure. In high socioeconomic settings where there is good healthcare, standard treatment is established to manage the symptoms and decrease the progression of preeclampsia to eclampsia. However, in more rural, third-world settings of developing countries, caring for patients with preeclampsia is not a straightforward matter. Due to decreased access to health care, low economic status, and lack of education, preeclampsia is often seen yet seldom treated among this population. The discussion below addresses several possible pathophysiological processes of preeclampsia, as well as potential risk factors. The standard treatments of care are then discussed, followed by the evaluation of studies regarding alternative treatments for preeclampsia. The importance of screening pregnant women in developing nations is included. The discussion is concluded by a summary of what caring for preeclampsia in a third-world setting might look like for a missionary nurse.