Hypertensive Disorders in Pregnancy

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Image adapted from raebrune (flickr), CC BY SA

Term:
2014
Published:
October 20, 2014
Revised:
November 27, 2014

This course is part of a project that aims to reduce maternal mortality in Sub-Saharan Africa by providing specialty training in Obstetrics and Gynecology. This training will be provided in a partnership between high-income and low- and middle-income countries (LMIC).
 
We hope that you find the course useful in whatever role you play in the reduction of maternal mortality, and that together we will find a way to sustainably improve the lives women, children, and the people who care for them in Sub Saharan Africa.
 
This course is offered periodically as an instructor-facilitated interactive online course through Elevate Health at http://www.elevatehealth.eu/obgyn2014. It was first offered June 22, 2014 - June 27, 2014.

Learning Objectives

The objective of this course for learners is to understand the various hypertensive disorders in pregnancy including how to manage and prevent their associated complications
The long term goal is for women in these countries to have increased access to the best obstetric and reproductive healthcare from highly trained OB/GYNs.
This course is aimed at improving your knowledge about hypertensive disorders in pregnancy.
During the course you will go through the following seven Learning Units:

  1. Introduction
  2. Gestational hypertension
  3. Preeclampsia
  4. Eclampsia
  5. Chronic hypertension and superimposed preeclampsia
  6. Healthcare systems
  7. Clinical reasoning

Please make sure you plan at least one hour for each Learning Unit. If possible, try to finish one Learning Unit each day.

About the Creators

Course design and content has been developed under the auspice of the steering committee existing of:

  • Diana Curran MD,  Residency Program Director, University of Michigan Health System
  • Meg Autry MD, Residency Program Director, University of California, San Francisco
  • Kwabena Danso MD, Professor, Obstetrics and Gynecology, KNUST, Kumasi, Ghana
  • Karen Adams MD,  Residency Program Director, Oregon Health Sciences University
  • Lee A. Learman, MD, PhD, Chair, Department of Obstetrics and Gynecology, Indiana University School of Medicine
  • Stephen Rulisa, MD, MMed (Ob/Gyn), PhD, Head of Department Obstetrics and Gynecology, School of Medicine, University of Rwanda, University Teaching Hospital of Kigali

Elevate Health (http://www.elevatehealth.eu/) staff involved in educational & technical aspects of the course:

  • Renée Filius MSc, Program Manager
  • Joyce Browne MD MSc, PhD candidate
  • Francisca Wagemaakers, BSc, medical master student

Disclaimer: All of the recordings took place during a live seminar in Ghana, Accra. The quality can therefore not be representative for the usual course material delivered by Elevate Health.
 
Many professors and doctors from the 1000+ OBGYN consortium were involved in course content delivery during the pilot course from June 22, 2014 and June 27, 2014:

  • Sierra Washington MD, Assistant Professor of OBGYN, Albert Einstein College of Medicine, USA
  • Victor Mbome Njie, representing the Ministry of Health in Cameroon
  • Thomas O. Egbe, MD; coordinator of OBGYN, faculty of Health Sciences, University of Buea, Cameroon,
  • Gregory Halle-Ekana, University of Buea, Cameroon
  • Mike Brady MD, St. Joseph’s Hospital and Medical Center, USA. Assistant Professor, University of Arizona, Residency Program Director
  • Maria Small MD, Duke University, USA
  • Washington Hill MD, Sarasota Memorial Hospital, USA & Duke University School of Medicine
  • Stephen Rulisa, MD, MMed (Ob/Gyn), PhD, Head of Department Obstetrics and Gynecology, School of Medicine, University of Rwanda, University Teaching Hospital of Kigali
  • Diana Wolfe MD, Assistant Professor in the Department of Obstetrics & Gynecology and Women’s health, Division of Maternal Fetal Medicine, Albert Einstein College of Medicine
  • Samuel Antwi Oppong MD, University of Ghana Medical School, Korle-Bu Teaching Hospital, Ghana
  • Jack Ludmir, M.D., Professor and Chair of Obstetrics and Gynecology at University of Pennsylvania, USA
  • Dr. Paul Duggan, MBBS., FRANZCOG. Discipline of Obstetrics and Gynaecology, The University of Adelaide, Australia
  • Dr. Henk Schreuder MD PhD, Department of Obstetrics and Gynaecology, University Medical Center Utrecht, The Netherlands

OER Publishing support by:

  • Kathleen Omollo, Department of Learning Health Sciences, University of Michigan
  • Alyssa Mouton, Department of Obstetrics and Gynaecology, University of Michigan
Logo of Baby inside of Woman

Image adapted from raebrune (flickr), CC BY SA

Term:
2014
Published:
October 20, 2014
Revised:
November 27, 2014

Exercises

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01-07: Introduction: Short Assignments

Member Institutions of 1000+ OBGYN Consortium

02-02: Gestational Hypertension: Self-Test, includes answer key as final page

Member Institutions of 1000+ OBGYN Consortium

02-03: Gestational Hypertension: Develop a management plan

Member Institutions of 1000+ OBGYN Consortium

02-03: Gestational Hypertension: Management Plan Template

Member Institutions of 1000+ OBGYN Consortium

03-07: Preeclampsia: Your Own Practice

Member Institutions of 1000+ OBGYN Consortium

03-08: Preclampsia - Self-Test

Member Institutions of 1000+ OBGYN Consortium

04-02: Eclampsia: Maternal Consequences: Self Test

Member Institutions of 1000+ OBGYN Consortium

04-03: Eclampsia: Management of Eclampsia

Member Institutions of 1000+ OBGYN Consortium

04-04: Eclampsia: Management plan on eclampsia

Member Institutions of 1000+ OBGYN Consortium

04-07: Eclampsia: Self-Test

Member Institutions of 1000+ OBGYN Consortium

05-02: Chronic Hypertension: Definitions

Member Institutions of 1000+ OBGYN Consortium

05-03: Chronic Hypertension: Management Case

Member Institutions of 1000+ OBGYN Consortium

05-06 Chronic Hypertension: Self-Test

Member Institutions of 1000+ OBGYN Consortium

06-04: Health care systems: Treatments

Member Institutions of 1000+ OBGYN Consortium

06-05: Health care systems: Harmonizing Guidelines

Member Institutions of 1000+ OBGYN Consortium

Lectures

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01-02: Introduction: Welcome to the Course

Kwabena Danso
Frank Anderson

01-05: Introduction: Hypertension in pregnancy

Diana Wolfe

03-02: Preeclampsia: Preeclampsia and Eclampsia Part 1

Diana Wolfe

03-03: Preeclampsia: Preeclampsia and Eclampsia Part 2

Diana Wolfe

04-01: Eclampsia: Atypical Preeclampsia and Eclampsia

Diana Wolfe

04-03: Eclampsia: Management of eclampsia: Cameroon Panel

Halle Ekane
Thomas Egbe
Mbome Njie
Mike Brady

04-05: Eclampsia: Eclampsia In Developing Countries: Rwanda Panel discussion

Stephen Rulisa
Washington Hill

04-06: Eclampsia: Postpartum Counseling for Family Planning

Sierra Washington

05-01: Chronic Hypertension: Lecture Part 1

Diana Wolfe

05-01: Chronic Hypertension: Lecture Part 2

Diana Wolfe

05-04: Chronic Hypertension: Lecture Part 3

Diana Wolfe

05-04: Chronic Hypertension: Lecture Part 3

Diana Wolfe

05-04: Chronic Hypertension: Lecture Part 4

Diana Wolfe

05-04: Chronic Hypertension: Lecture Part 5

Diana Wolfe

06-03: Health care systems: Considerations in different health care systems: Cameroon Panel Part 1

Halle Ekane
Thomas Egbe
Mbome Njie
Mike Brady

06-03: Health care systems: Considerations in different health care systems: Cameroon Panel Part 2

Halle Ekane
Thomas Egbe
Mbome Njie
Mike Brady

Miscellaneous

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Download Folder for Collection, from Box.com

Member Institutions of 1000+ OBGYN Consortium

Texts

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01-02: Introduction: Welcome to the Course

Member Institutions of 1000+ OBGYN Consortium

01-05: Introduction: Hypertension in Pregnancy

Member Institutions of 1000+ OBGYN Consortium

01-06: Introduction: Resources

Member Institutions of 1000+ OBGYN Consortium

02-01: Gestational Hypertension: Introduction

Member Institutions of 1000+ OBGYN Consortium

03-01: Preeclampsia: Introduction

Member Institutions of 1000+ OBGYN Consortium

03-02 and 03-03: Preeclampsia: What is preeclampsia? Part 1 and 2

Member Institutions of 1000+ OBGYN Consortium

03-04: Preeclampsia: Risk factors

Member Institutions of 1000+ OBGYN Consortium

03-05: Preeclampsia: Management of Preeclampsia

Member Institutions of 1000+ OBGYN Consortium

04-01: Eclampsia: Introduction

Member Institutions of 1000+ OBGYN Consortium

04-05: Eclampsia: Eclampsia in developing countries

Member Institutions of 1000+ OBGYN Consortium

04-06 Eclampsia: Postpartum counseling

Member Institutions of 1000+ OBGYN Consortium

05-01: Chronic Hypertension: Introduction

Member Institutions of 1000+ OBGYN Consortium

05-04: Chronic Hypertension: Medication Choices

Member Institutions of 1000+ OBGYN Consortium

06-01: Health care systems: Introduction

Member Institutions of 1000+ OBGYN Consortium

06-02: Health care systems: Resources

Member Institutions of 1000+ OBGYN Consortium

06-03: Health care systems: Considerations in different health care systems

Member Institutions of 1000+ OBGYN Consortium
Logo of Baby inside of Woman

Image adapted from raebrune (flickr), CC BY SA

Term:
2014
Published:
October 20, 2014
Revised:
November 27, 2014

01. Introduction

Document Title Creator Downloads License

01-02: Introduction: Welcome to the Course

Kwabena Danso
Frank Anderson

01-02: Introduction: Welcome to the Course

Member Institutions of 1000+ OBGYN Consortium

01-05: Introduction: Hypertension in pregnancy

Diana Wolfe

01-05: Introduction: Hypertension in Pregnancy

Member Institutions of 1000+ OBGYN Consortium

01-06: Introduction: Resources

Member Institutions of 1000+ OBGYN Consortium

01-07: Introduction: Short Assignments

Member Institutions of 1000+ OBGYN Consortium

02. Gestational Hypertension

Document Title Creator Downloads License

02-01: Gestational Hypertension: Introduction

Member Institutions of 1000+ OBGYN Consortium

02-02: Gestational Hypertension: Self-Test, includes answer key as final page

Member Institutions of 1000+ OBGYN Consortium

02-03: Gestational Hypertension: Develop a management plan

Member Institutions of 1000+ OBGYN Consortium

02-03: Gestational Hypertension: Management Plan Template

Member Institutions of 1000+ OBGYN Consortium

03. Preeclampsia

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03-01: Preeclampsia: Introduction

Member Institutions of 1000+ OBGYN Consortium

03-02 and 03-03: Preeclampsia: What is preeclampsia? Part 1 and 2

Member Institutions of 1000+ OBGYN Consortium

03-02: Preeclampsia: Preeclampsia and Eclampsia Part 1

Diana Wolfe

03-03: Preeclampsia: Preeclampsia and Eclampsia Part 2

Diana Wolfe

03-04: Preeclampsia: Risk factors

Member Institutions of 1000+ OBGYN Consortium

03-05: Preeclampsia: Management of Preeclampsia

Member Institutions of 1000+ OBGYN Consortium

03-07: Preeclampsia: Your Own Practice

Member Institutions of 1000+ OBGYN Consortium

03-08: Preclampsia - Self-Test

Member Institutions of 1000+ OBGYN Consortium

04. Eclampsia

Document Title Creator Downloads License

04-01: Eclampsia: Atypical Preeclampsia and Eclampsia

Diana Wolfe

04-01: Eclampsia: Introduction

Member Institutions of 1000+ OBGYN Consortium

04-02: Eclampsia: Maternal Consequences: Self Test

Member Institutions of 1000+ OBGYN Consortium

04-03: Eclampsia: Management of Eclampsia

Member Institutions of 1000+ OBGYN Consortium

04-03: Eclampsia: Management of eclampsia: Cameroon Panel

Halle Ekane
Thomas Egbe
Mbome Njie
Mike Brady

04-04: Eclampsia: Management plan on eclampsia

Member Institutions of 1000+ OBGYN Consortium

04-05: Eclampsia: Eclampsia in developing countries

Member Institutions of 1000+ OBGYN Consortium

04-05: Eclampsia: Eclampsia In Developing Countries: Rwanda Panel discussion

Stephen Rulisa
Washington Hill

04-06 Eclampsia: Postpartum counseling

Member Institutions of 1000+ OBGYN Consortium

04-06: Eclampsia: Postpartum Counseling for Family Planning

Sierra Washington

04-07: Eclampsia: Self-Test

Member Institutions of 1000+ OBGYN Consortium

05. Chronic hypertension and superimposed preeclampsia

Document Title Creator Downloads License

05-01: Chronic Hypertension: Introduction

Member Institutions of 1000+ OBGYN Consortium

05-01: Chronic Hypertension: Lecture Part 1

Diana Wolfe

05-01: Chronic Hypertension: Lecture Part 2

Diana Wolfe

05-02: Chronic Hypertension: Definitions

Member Institutions of 1000+ OBGYN Consortium

05-03: Chronic Hypertension: Management Case

Member Institutions of 1000+ OBGYN Consortium

05-04: Chronic Hypertension: Lecture Part 3

Diana Wolfe

05-04: Chronic Hypertension: Lecture Part 3

Diana Wolfe

05-04: Chronic Hypertension: Lecture Part 4

Diana Wolfe

05-04: Chronic Hypertension: Lecture Part 5

Diana Wolfe

05-04: Chronic Hypertension: Medication Choices

Member Institutions of 1000+ OBGYN Consortium

05-06 Chronic Hypertension: Self-Test

Member Institutions of 1000+ OBGYN Consortium

06. Health care systems

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06-01: Health care systems: Introduction

Member Institutions of 1000+ OBGYN Consortium

06-02: Health care systems: Resources

Member Institutions of 1000+ OBGYN Consortium

06-03: Health care systems: Considerations in different health care systems

Member Institutions of 1000+ OBGYN Consortium

06-03: Health care systems: Considerations in different health care systems: Cameroon Panel Part 1

Halle Ekane
Thomas Egbe
Mbome Njie
Mike Brady

06-03: Health care systems: Considerations in different health care systems: Cameroon Panel Part 2

Halle Ekane
Thomas Egbe
Mbome Njie
Mike Brady

06-04: Health care systems: Treatments

Member Institutions of 1000+ OBGYN Consortium

06-05: Health care systems: Harmonizing Guidelines

Member Institutions of 1000+ OBGYN Consortium

Download Collection

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Download Folder for Collection, from Box.com

Member Institutions of 1000+ OBGYN Consortium