Samrakshan: Rationale for universal 1st trimester screening to identify pregnant women at risk for preterm preeclampsia

Samrakshan, a nationwide program of the Indian Radiological & Imaging Association (IRIA) launched in June 2019,  aims to optimize the experience and expertise of radiologists in India to supplement and complement existing efforts that address perinatal mortality in India.  Samrakshan aims at a pragmatic approach cognizant of local realities and flexible that it can be adopted by many rather than a few.  

Pre-eclampsia (PE) and Fetal Growth Restriction (FGR) are the conditions of interest for Samrakshan. These conditions are important health problems in India as judged by its frequency and severity. The epidemiology, incidence, prevalence and natural history of these two conditions are reasonably understood from latent to declared disease and there is robust evidence about the association between several risk factors and the risk of serious or treatable disease.

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