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Preeclampsia. Carla Morrow DNP, CNM Dallas Midwife Associates. Incidence and Sequela. Propper BP measurement. Normal Blood Pressure. Classification of Hypertensive Disorders of Pregnancy. White Coat Syndrome. Diagnosis of Preeclampsia. Severe Features of Preelampsia.
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Preeclampsia Carla Morrow DNP, CNM Dallas Midwife Associates
Prevention of preeclampsia • It is clear that antioxidants vitamin C and vitamin E are not effective interventions to prevent preeclampsia or adverse outcomes from preeclampsia in either women that are low or high risk. • Calcium may be useful to reduce the severity of preeclampsia in populations with low calcium intake, such as in the US. • Baby ASA 84 mg daily has been examined in a meta-analysis of more than 30,000 women and it appears there is a slight effect to reduce preeclampsia and adverse perinatal outcomes. These findings are more reliable in high risk women rather than low risk women.
Proteinuria • Review of maternal mortality data revels that Deaths can be avoided if providers remain alert to the likelihood that preeclampsia will progress. • The same reviews identified that invervention in acutely ill women has been delayed because of the abscense of proteinuria. • Furthermore accumulating information indicates that the amount of proteinuria does not predict maternal or fetal outcome.