Preeclampsia recurrence and prevention

被引:60
作者
Dildy, Gary A., III
Belfort, Michael A.
Smulian, John C.
机构
[1] Louisiana State Univ, Hlth Sci Ctr, Dept Obstet & Gynecol, Baton Rouge, LA 70803 USA
[2] Univ Utah, Hlth Sci Ctr, Dept Obstet & Gynecol, Salt Lake City, UT 84112 USA
[3] Univ Med & Dent New Jersey, Robert Wood Johnson Med Sch, Dept Obstet Gynecol & Reprod Sci, Div Maternal Fetal Med, Newark, NJ 07103 USA
关键词
preeclampsia; eclampsia; risk factors; recurrence; prevention; HELLP syndrome;
D O I
10.1053/j.semperi.2007.03.005
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Women with a previous pregnancy complicated by preeclampsia have an increased risk for recurrence in subsequent pregnancies. For severe preeclamptic women in an initial pregnancy, recurrence rates for any type of preeclampsia are very high, approaching 50% in some studies. Significant maternal and fetal complications are more common in recurrent preeclampsia compared with an initial episode. For women who have experienced a pregnancy complicated by preeclampsia, a systematic evaluation for underlying risk factors may identify a specific pathway suitable for a specific intervention. Although some progress has been made in developing potential therapeutic options to prevent preeclampsia recurrence, there is a great need for better data to determine who will benefit most from any specific therapy.
引用
收藏
页码:135 / 141
页数:7
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