New directions in the prediction of pre-eclampsia

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Abstract

Pre-eclampsia remains an important worldwide cause of maternal and perinatal morbidity and mortality. Improved prediction of those destined to develop this condition would allow for timely initiation of prophylactic therapy, appropriate antenatal surveillance and better targeted research into preventive interventions. This paper reviews recent research into strategies for the prediction of pre-eclampsia, including the use of maternal risk factors, mean maternal arterial pressure, ultrasound parameters and biomarkers. The most promising strategies involve multiparametric approaches, which use a variety of individual parameters in combination, as has been established in first-trimester aneuploidy screening. The paper concludes with a discussion of the issues around the introduction of such testing into clinical practice.

Original languageEnglish
Pages (from-to)101-107
Number of pages7
JournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
Volume54
Issue number2
DOIs
Publication statusPublished - Apr 2014
Externally publishedYes

Keywords

  • aspirin
  • blood pressure
  • mass screening
  • pre-eclampsia
  • pregnancy-induced hypertension

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