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Preeclampsia

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

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  1. Preeclampsia Carla Morrow DNP, CNM Dallas Midwife Associates

  2. Incidence and Sequela

  3. Propper BP measurement

  4. Normal Blood Pressure

  5. Classification of Hypertensive Disorders of Pregnancy

  6. White Coat Syndrome

  7. Diagnosis of Preeclampsia

  8. Severe Features of Preelampsia

  9. 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.

  10. Task force recommendations

  11. 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.

  12. Chronic HTNManagement

  13. Gestational HTN and Mild Pre-Eclampsia Management

  14. Gestational HTN and Mild Pre-Eclampsia Management

  15. Management of Severe Preeclampsia

  16. Management of Severe Preeclampsia

  17. Eclampsia

  18. HELLP

  19. Postpartum Hypertension

  20. Prediction of Preeclampsia

  21. Who should be on Aspirin

  22. Labs

  23. P/C Ratio

  24. 24 Hour Urine

  25. OOH Elevated Blood Pressure Guidelines

  26. OOH Elevated Blood Pressure Guidelines

  27. OOH Elevated Blood Pressure Guidelines

  28. OOH Elevated Blood Pressure Guidelines

  29. Levels of Care

  30. Examples of local hospital leveling

  31. Local consultation Resources

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