Prediction, prevention and management of preeclampsia
Michel, Michelle Estella
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Background: Pregnancy-related health complications can pose imminent threats to the health of both mother and fetus. Gestational hypertension accompanied by proteinuria after 20 weeks’ gestation characterize the condition known as preeclampsia, which puts mothers and their fetuses at risk for a number of adverse outcomes. Significance: From 1987 to 2004, the incidence of preeclampsia rose by 25%. Adverse outcomes in the mother-to-be include preterm delivery, acute renal failure and maternal death. As a result of preeclampsia, the fetus can suffer intrauterine growth restriction, preterm birth and low birth weight. Aim: Researchers have explored a number of strategies to predict, prevent and manage preeclampsia. This work will explore the various strategies employed and documented in the literature. Conclusion: Treatments that may be beneficial for the mother (delivering the infant), may not necessarily be beneficial for the fetus (may have a young gestational age) and vice versa. Therefore, determining the appropriate method of handling each case of preeclampsia is critical to the work of the obstetrician, and should be decided from evidence-based treatments and management.
Thesis (M.A.)--Boston University