South Africa has a number of units actively engaged in preeclampsia research, and a number of physicians who have devoted their careers to this disease. It depends where this individual lives. In Durban a Professor Jack Moodley is currently vice president of the International Society for the Study of Hypertension in Pregnancy, and in Cape Town, a Professor Anthony has also published on the disease. Another name is a Dr Hofmeyer, who works with WHO on their current calcium trial. I am sure they can be located, and help or refer this patients to others.
Finally, concerning low dose aspirin, its ability to prevent preeclampsia is small even in high risk patients, while calcium supplementation is yet to be shown effective (the large WHO study should conclude this summer). Aspirin, of course is a drug that has, while limited, the potentiality for side effects. An adequate calcium intake is harmless and good for pregnancy, and concerns that high intake could exacerbate stone disease (especially in hot climates), do not seem to have been born out. Also, the large antioxidant trials are now in their infancy.
In summary, the patient might contact the MDs mentioned or the ones they suggest, and ask them where the best high risk groups are, and assure that they have modern tertiary care centers with facilities to handle very early births (not always available throughout the country), and plan her next pregnancy around that advice.
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