JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)
Vol 8, No 3 (2020)

Pharmacological and Non-Pharmacological Intervention to Prevent Preeclampsia: A Systematic Literature Review

Fatimatasari - Fatimatasari (Universitas Alma Ata Yogyakarta)
Fatimah Fatimah (Universitas Alma Ata Yogyakarta)
Angela C.B Trude (Division of Growth and Nutrition, Department of Pediatrics, School of Medicine, University of Maryland. 737 W. Lombard St, Baltimore, MD, USA 21201)
Herlin Herlin Fitriana Kurniawati (Universitas '
Aisyiyah Yogyakarta)

Rosmita Nuzuliana (Universitas '
Aisyiyah Yogyakarta)



Article Info

Publish Date
19 Nov 2020

Abstract

Preeclampsia is a disorder of pregnancy that increases risk for long-term health consequences for both mother and child, and if left untreated is one of the main causes of maternal and fetal mortality. However, delivery of the placenta is the only cure, making prevention options for this condition needed but little consensus exist on their effectiveness. Thus, we conducted a systematic literature review on the effectiveness of pharmacological interventions and dietary supplementations to prevent preeclampsia. We used MEDLINE and ProQuest to conduct a systematic search for peer-review publications on prevention of preeclampsia. We selected studies conducted in human and published in English from 2010 through 2020 on: i) types of interventions; ii) quality of studies and limitations. We selected 22 articles to be reviewed. Three types of pharmacological interventions and eight types of dietary supplementations were identified. Nitric Oxide-donors with Isosorbide Mononitrate (IMN), and aspirin have been shown to be effective, while selenium, calcium, vitamin D, DHA-rich fish oil-concentrate, copper, phytonutrient, Nitric Oxide-donors with Penthaerythrityl Tetranitrate (PETN), folic acid, vitamins C and E and magnesium have not been proved effective to prevent preeclampsia. Although all studies presented good quality of evidence, they had several limitations, the most common limitations are lack of initial therapy, lack of dosage, and inadequate sample size to detect small effect. Despite the growing evidence of treatments to prevent preeclampsia, their effect is not large. More research is needed in the field before prevention treatments are prescribed in clinical settings.

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Journal Info

Abbrev

JNKI

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing Public Health Other

Description

Jurnal Ners dan Kebidanan Indonesia (Indonesian Journal of Nursing and Midwifery) abbreviated JNKI (p-ISSN 2354-7642 and e-ISSN 2503-1856) is the journal of nursing and midwifery published by Department of Nursing and Department of Midwifery, Faculty of Health Sciences, Alma Ata University in ...