Master Class

Preeclampsia, Part 2


 

This Master Class is the second in a three-part series on the topic of preeclampsia, which is a relatively common complication of pregnancy that can result in severe morbidity and mortality if not well managed. In light of this, we have decided to dedicate a significant amount of coverage to this topic.

In the previous Master Class article, we covered one end of the spectrum—severe preeclampsia. This Master Class focuses on the more common presentation of mild preeclampsia, which sometimes presents in a manner similar to that of gestational hypertension alone.

Mild gestational hypertension-preeclampsia affects up to 10% of all pregnancies. Because it is a relatively common complication of pregnancy, it is critically important that the practitioner develops a clinical algorithm for diagnosis—one that distinguishes mild gestational hypertension-preeclampsia from gestational hypertension alone—and institutes an appropriate management protocol.

Dr. Baha M. Sibai, our guest professor previously on the topic of severe preeclampsia, will help us with this Master Class. He focuses here on the salient differences between gestational hypertension and mild preeclampsia and how these conditions should be managed in the antepartum, intrapartum, and postpartum periods.

Dr. Sibai is an international expert on preeclampsia and eclampsia and a world leader in clinical care and research in this field. He is professor of obstetrics and gynecology at the University of Cincinnati, and has contributed to more than 350 studies in peer-reviewed journals on these topics.

In the third and final part of the series on preeclampsia, Dr. Sibai will address the risk of recurrent preeclampsia and how subsequent pregnancies in women with a history of previous preeclampsia should be managed.

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