Detailed medical history best screening for preeclampsia

August 23, 2015

(HealthDay)—Taking a detailed medical history remains the best and only recommended screening approach for preeclampsia, according to a practice bulletin published in the September issue of Obstetrics & Gynecology.

Noting that hypertensive disorders with adverse sequelae complicate 5 to 10 percent of pregnancies, members of the Committee on Obstetric Practice discuss recommendations for early identification of preeclampsia.

According to the authors, in theory, early identification of women at risk for early-onset preeclampsia would allow for referral for more intensive surveillance or application of preventive therapies. However, the low positive predictive value for early-onset preeclampsia could hinder the effectiveness of such triage. Commercial tests are being marketed for preeclampsia prediction in the first trimester, in spite of the modest predictive value of first trimester preeclampsia risk assessment and the lack of data demonstrating improved clinical outcomes. Currently, the best and only recommended screening for preeclampsia is taking a detailed to assess risk factors. Until studies show that aspirin or other interventions reduce the incidence of preeclampsia among women at high risk, based on first-trimester predictive tests, taking a detailed history should remain the method of screening.

"The American College of Obstetricians and Gynecologists does not recommend screening to predict beyond obtaining an appropriate medical history," the authors write.

Explore further: Preeclampsia prediction similar, modest with two algorithms

More information: Full Text

Related Stories

Preeclampsia prediction similar, modest with two algorithms

December 17, 2014
(HealthDay)—Two algorithms offer similar and modest performance for predicting preeclampsia in nulliparous women at 11 to 13 weeks of gestation, according to a study published online Dec. 4 in BJOG: An International Journal ...

Study finds elevated levels of cell-free DNA in first trimester do not predict preeclampsia

February 11, 2012
In a study to be presented today at the Society for Maternal-Fetal Medicine's annual meeting, The Pregnancy Meeting, in Dallas, Texas, researchers will report findings that indicate that elevated levels of cell-free DNA in ...

Low birth weight and preeclampsia tend to reoccur in the next generation

February 2, 2015
In a study to be presented on Feb. 6 in an oral concurrent session at the Society for Maternal-Fetal Medicine's annual meeting, The Pregnancy Meeting, in San Diego, researchers will present findings on a study of mothers ...

Integrated model can predict preeclampsia in first trimester

April 4, 2013
(HealthDay)—An integrated model for first-trimester screening of preeclampsia (PE) seems effective in a routine care setting, according to a study published in the March issue of the American Journal of Obstetrics & Gynecology.

Severe headache in pregnant women: When to worry

August 19, 2015
If a pregnant woman with high blood pressure and no history of headache suddenly develops a headache that quickly gets worse, she could be at risk for pregnancy complications, including preeclampsia, which put both the mother ...

Give aspirin to all pregnant women at risk of preeclampsia, US experts say

September 9, 2014
(HealthDay)—Women at high risk for the pregnancy complication known as preeclampsia should take low-dose aspirin daily after 12 weeks of pregnancy, a panel of U.S. health experts recommends.

Recommended for you

Rise in preterm births linked to clinical intervention

January 18, 2018
Research at the University of Adelaide shows preterm births in South Australia have increased by 40 percent over 28 years and early intervention by medical professionals has resulted in the majority of the increase.

New report calls into question effectiveness of pregnancy anti-nausea drug

January 17, 2018
Previously unpublished information from the clinical trial that the U.S. Food and Drug Administration relied on to approve the most commonly prescribed medicine for nausea in pregnancy indicates the drug is not effective, ...

New study finds 'baby brain' is real, but the cause remains mysterious

January 15, 2018
So-called "baby brain" refers to increased forgetfulness, inattention, and mental "fogginess" reported by four out of five pregnant women. These changes in brain function during pregnancy have long been recognised in midwifery ...

Sleep quality improves with help of incontinence drug

January 12, 2018
A drug used to curtail episodes of urinary incontinence in women also improves quality of sleep, a researcher at the Stanford University School of Medicine reports.

Frozen embryos result in just as many live births in IVF

January 10, 2018
Freezing and subsequent transfer of embryos gives infertile couples just as much of a chance of having a child as using fresh embryos for in vitro fertilization (IVF), research from Ho Chi Minh City, Vietnam, and Adelaide, ...

Study suggests air pollution breathed in the months before and after conception increases chance of birth defects

January 8, 2018
A team of researchers with the University of Cincinnati and Cincinnati Children's Hospital has found evidence that indicates that pre-and post-pregnant women living in an area with air pollution are at an increased risk of ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.