Current insights into the study and management of preeclampsia
M. Bari, G. Peltecu, A. Veduta, A. Atanasiu
Abstract: Preeclampsia represents a disorder which is responsible for an important procent of the maternal and perinatal morbidity and mortality in general, though it afects only 2% of the total pregnancies. In all cases of preeclampsia, only one quarter (0.5% of pregnacies) represents the severe forms or those with an early onset; these forms present in fact, a
great influence on the morbidity and mortality rates. Currently, gestational hypertension has one of the most extensive research in obstetrics. Therefor, new data on preeclampsia is rapidly discovered. The recent insights into the pathogenesis of preeclampsia provide, not only theoretical basis, but also a practical use in order to prevent preeclampsia, by identifying some screening tools that would accurately assess each individual risk for preeclampsia. Early preventation of preeclampsia is of great importance, as it is recommended by National Institute for Clinical Excellence from Great Britain, one of the
most reliable European medical forums. This recommendation from 2008 describes the assessment of each individual risk for hypertension disorders, during the first antenatal counselling, so that it can be developed some personalised antenatal care plan. The assessment of each individual risk for hypertension related-pregnancy, and finally, the efficient management of preeclampia can be achieved, only by the understanding of the physiopatology and etiolopathology of this complication. The aim of the present review is to describes the two important aspects: analysis of preeclampsia’s mechanisms and means of prevention by evaluating each individual risk of hypertension-related pregnancy.
DOI:10.18643/gieu.2013.41