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StatisticsSigns and SymptomsFrequently Asked Questions Statistics THE COST of PREECLAMPSIA in the USA Two thousand years after eclampsia was described, preeclampsia and eclampsia still complicate 10% of pregnancies yet their cause remains unknown. They are among the major contributors to maternal and perinatal morbidity and mortality worldwide. Preeclampsia/eclampsia is also associated with substantial health problems later in life in both women and their children. While the global financial burden is difficult to calculate, the immediate and long-term annual costs can be estimated as billions of dollars Global Program to Conquer MATERNAL ILLNESS Hypertensive disorders of pregnancy complicate 10% of all pregnancies or the lives of 358,784 women @ a cost of ~$8,374 per case or $3,004,457,216 3 Billion per year MATERNAL DEATH 18% of U.S. maternal deaths -several hundred women Incalculable INFANT ILLNESS 81,708 premature births (~15%) @ a cost of ~$50, 303 per case or $4,110,157,524 4 Billion per year ONGOING ISSUES Baby: Preeclampsia prompted prematurity is responsible for: 6,000 cases of Respiratory Distress Syndrome per year @ a cost of $67, 622 per case or $405 Million ~75,000 of the cerebral palsy cases currently living in the US 15% of blindness, epilepsy, deafness, lung conditions, learning disabilities, due to prematurity. Cost not fully calculated. Mother: Physical Not well studied. Some studies suggest that underlying conditions are exposed-such as a tendency towards hypertensive, autoimmune disorders, etc… No cost calculated at this point. Psychological: Very marginally studied. Anecdotally, we see signs of post traumatic stress disorder, marital conflict and divorce, grief, loss of hope for a family, feelings of vulnerability that impacts comfort with intimacy, and spouse-particularly so for the wife who may fear another pregnancy. Fear for our children when they have pregnancies and fear for our sisters when they start families. No cost calculated at this point. The incidence of preeclampsia has risen 40% in the past decade. Yet, according to the WHO, prenatal conditions rank second from the bottom at the National Institute of Health in funding* Source of data extrapolated from statistics at http://www.ahrq.gov/data/hcup/hcupnet.htm http://www.cdc.gov/nchs/ Internationally 50,000-76,000 deaths per year. In developing countries: preeclampsia/eclampsia impact 4.4% of all deliveries (1) and may be as high as 18% in some settings in Africa (2) If the rate of life threatening eclamptic convulsions (0.1% of all deliveries) is applied to all deliveries from countries considered to be the least developed, 50,000 cases of women experiencing this serious complication can be expected each year. According to Safe Motherhood.org of the 585,000 maternal annually(3), 13%, or 76,050, are due to eclampsia.
Giving Magnesium Sulfate to all women with preeclampsia in the world's 143 least developed countries could head off as many as 35,000 cases of eclampsia per year. The WHO includes magnesium sulfate on its essential drugs list-but only about half the world's countries do so-
© 2000 - 2007 Preeclampsia Foundation
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