What factors put you at risk for preeclampsia?
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Women and fetuses affected by preeclampsia are at higher risk of developing long-term health issues. | |
176 Citations | Preeclampsia was associated with an increased risk of being hospitalized for a number of diseases, especially in the children born at term. |
Established preeclampsia risk factors are associated with higher BP in early pregnancy and faster BP increases later in gestation in normal pregnancy, suggesting a continuum of risk. | |
84 Citations | Women with a history of early-onset preeclampsia have a high prevalence of several major cardiovascular disease risk factors. |
148 Citations | In this contemporary cohort, increasingly prevalent and potentially modifiable factors were confirmed as significant risk factors for preeclampsia and severe preeclampsia, the most important being overweight or obese. |
38 Citations | An analysis of a group of Swedish pregnant women showed that the risk for preeclampsia is attributable to paternal factors in 13% of cases, which could be related to genetic interactions with maternal genetic factors. |
77 Citations | Exposure to severe maternal preeclampsia is an independent risk factor for long-term cardiovascular morbidity in the offspring born at term. |
The risk of preeclampsia increases exponentially with respect to the number of risk factors. | |
34 Citations | Advanced maternal age, obesity, and no utilization of prenatal care were covariates identified as risk factors for preeclampsia. |
109 Citations | A large proportion of women who experienced early‐onset preeclampsia had major cardiovascular risk factors in the fifth decade of life, compared with healthy controls. |
Related Questions
What is the risk score of diabetes mellitus for preeclampsia?5 answersPregnant women with diabetes mellitus (DM), including gestational diabetes mellitus (GDM) and pre-existing DM, are at a higher risk for developing preeclampsia. Various risk factors have been identified, such as socio-economic status, history of preeclampsia in a previous pregnancy, and pre-GDM. In women with GDM, clinical features like first-trimester BMI over 27 kg/m2, GDM diagnosis before 20 weeks of gestation, and poor glycemic control have been associated with preeclampsia, leading to the development of a risk-scoring model. Additionally, in patients with pregestational DM, a predictive model incorporating biochemical, biophysical markers, and maternal risk factors showed high prognostic parameters for preeclampsia, with an area under the curve of 0.96 for type 1 DM and 0.94 for type 2 DM.
What are the risk factors for adverse pregnancy outcomes?4 answersThe risk factors for adverse pregnancy outcomes include young age (<20 years old) or advanced maternal age (≥35 years old), low platelet count (≤50×10^9/L), hypertension during pregnancy, and single-positivity of antiphospholipid antibody (aPLs), polycystic ovarian syndrome (PCOS), and high allostatic load. Other risk factors include not being married, late detection or diagnosis of syphilis, syphilis infection in the husband/sexual partner, untreated syphilis, and nonstandard medication. Additionally, obesity, metabolic syndrome, impaired glucose tolerance, and insulin resistance are associated with adverse pregnancy outcomes in women with PCOS. Chronic stress, such as food or housing insecurity, racism, and unemployment, may contribute to adverse pregnancy outcomes. Anemia and nulliparity are also observed as risk factors for hypertension in pregnancy. Early detection and standard treatment of syphilis, as well as reducing chronic stress and managing PCOS, may help reduce the risk of adverse pregnancy outcomes.
What are the factors that are associated with the incidence of preeclampsia?5 answersSeveral factors are associated with the incidence of preeclampsia. These include chronic hypertension, diabetes, autoimmune conditions, kidney disease, obesity, family history, age, and hypertension. Other risk factors include liver disease, heart disease, and gestational diabetes. Women with a history of migraines, rheumatoid arthritis, lupus, scleroderma, urinary tract infections, gum disease, polycystic ovarian syndrome, multiple sclerosis, and sickle cell disease are also at higher risk. Additionally, pregnancies resulting from egg donation, in vitro fertilization, or donor insemination have an increased likelihood of preeclampsia. Genetic factors, particularly cytokine polymorphisms, have also been implicated in the development and severity of preeclampsia. Overall, these factors contribute to the incidence of preeclampsia and highlight the importance of identifying high-risk individuals and implementing appropriate preventive measures.
What are the risk factors for cesarean section?5 answersCesarean section (CS) risk factors identified in the abstracts include severe intrahepatic cholestasis of pregnancy (ICP) and preeclampsia. Other risk factors for CS include previous lower segment CS (LSCS), malpresentation, and belonging to middle or upper class. Risk factors for sepsis after CS include age ≥ 35y, gestational diabetes, vaginal delivery attempt, premature rupture of membranes, preoperative hemoglobin ≤ 105 g/L, estimated blood loss during surgery ≥ 400 ml, and postoperative urinary tube implacement. Risk factors for postpartum hemorrhage after CS include abnormal placenta, abnormal amniotic fluid, umbilical cord around neck, threatened premature birth, scarred uterus, preeclampsia, and anemia. Risk factors for wound complications after CS include preeclampsia and premature rupture of the membrane.
What are the risk factors for placenta previa?5 answersPlacenta previa is a condition during pregnancy where the placenta partially or completely covers the opening of the uterus. The risk factors for placenta previa identified in the abstracts include a history of cesarean section, previous abortions, advanced maternal age, multiparity, smoking during pregnancy, and previous uterine surgeries. Other risk factors include a history of manual removal, somatic diseases such as obesity, anemia, and gastrointestinal diseases, and low socio-economic status. Additionally, factors such as former smoking, multiple prior cesarean deliveries, and prior non-cesarean uterine procedures were found to be associated with placenta accreta spectrum (PAS) in patients with placenta previa and prior cesarean delivery. These risk factors can help guide preconception counseling, early screening, and appropriate management of pregnant women with placenta previa.
What are the consequences of preeclampsia for the baby?5 answersPreeclampsia can have various consequences for the baby. It has been linked to fetal growth restriction (FGR) and an increased risk of respiratory distress syndrome (RDS) and bronchopulmonary dysplasia (BPD). There is controversy regarding the association between preeclampsia and other conditions such as patent ductus arteriosus (PDA), sepsis, necrotizing enterocolitis (NEC), and intraventricular hemorrhage (IVH). However, preeclampsia seems to have a protective effect on periventricular leukomalacia (PVL). The evidence regarding the association between preeclampsia and retinopathy of prematurity (ROP) is inconclusive. Hematological changes such as neutropenia, thrombocytopenia, and increased nucleated red blood cell counts have been associated with preeclampsia. The early installation of preeclampsia can directly impact neonatal morbidity, and the gestational age at preterm birth is a major risk factor. Obstetricians should aim to prolong pregnancies complicated by early-onset severe preeclampsia to improve neonatal outcomes.