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Moving beyond silos: How do we provide distributed personalized medicine to pregnant women everywhere at scale? Insights from PRE-EMPT

Research output: Contribution to journalArticle

Peter von Dadelszen, Laura A. Magee, Beth A. Payne, Dustin T. Dunsmuir, Sharla Drebit, Guy A. Dumont, Suellen Miller, Jane Norman, Lee Pyne-Mercier, Andrew H. Shennan, France Donnay, Zulfiqar A. Bhutta, J. Mark Ansermino

Original languageEnglish
Pages (from-to)S10-S15
JournalInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Volume131
Early online date25 Feb 2015
DOIs
Publication statusPublished - 1 Oct 2015

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King's Authors

Abstract

While we believe that pre-eclampsia matters-because it remains a leading cause of maternal and perinatal morbidity and mortality worldwide-we are convinced that the time has come to look beyond single clinical entities (e.g. pre-eclampsia, postpartum hemorrhage, obstetric sepsis) and to look for an integrated approach that will provide evidence-based personalized care to women wherever they encounter the health system. Accurate outcome prediction models are a powerful way to identify individuals at incrementally increased (and decreased) risks associated with a given condition. Integrating models with decision algorithms into mobile health (mHealth) applications could support community and first level facility healthcare providers to identify those women, fetuses, and newborns most at need of facility-based care, and to initiate lifesaving interventions in their communities prior to transportation. In our opinion, this offers the greatest opportunity to provide distributed individualized care at scale, and soon.

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