Comment on: Prediction and secondary prevention of preeclampsia from the perspective of public health management – the initiative of the State of Rio de Janeiro - Revista Brasileira de Ginecologia e Obstetrícia
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo80
, , , , , , , , , , , , , , Dear Editor,
We read with interest the article “Prediction and secondary prevention of preeclampsia from the perspective of public health management—the initiative of the State of Rio de Janeiro,” published by Braga and colleagues.() The authors recommend universal treatment (for all pregnant women) with elemental calcium at 1500 mg per day and identification of women at high-risk of preeclampsia (PE) based on the presence or absence of maternal risk factors alone, followed by aspirin at a dose of 100 mg in those cases. In this letter, we express our concerns with these simplistic strategies which, despite best intentions, are unlikely to work in clinical practice or reduce the PE rates at the population level.
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Dear Editor,
We read with interest the article "Prediction and secondary prevention of preeclampsia from the perspective of public health management—the initiative of the State of Rio de Janeiro," published by Braga and colleagues.() The authors recommend universal treatment (for all pregnant women) with elemental calcium at 1500 mg per day and identification of women at high-risk of preeclampsia (PE) based on the presence or absence of maternal risk factors alone, followed by aspirin at a dose of 100 mg in those cases. In this letter, we express our concerns with these simplistic strategies which, despite best intentions, are unlikely to work in clinical practice or reduce the PE rates at the population level.
[...]
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