by firstname.lastname@example.org (322 Posts), Fri Jan 18, 2008 08:33 am
To answer this patients questions more adequately a consultant would require much more data than given below, including the patientÃ¢â‚¬â„¢s actual blood pressure levels before conception, and other aspects of her health. In general one can note that women who have had previous preeclampsia have about a 20% chance of recurrence, and while long term outcomes in women who had late versus early preeclampsia are better, remember the disease was diagnosed last time during the 36th week it does not preclude its being there earlier. There are of course other questions to ask, but of importance, the lower the initial blood is to the 100/70 mm Hg range the better, and on the other hand women with pressures that exceeded 120 systolic were at greater risk in one of the NICHD preeclampsia studies. In the last analysis, the important thing is frecquent evaluation by a high risk Ob specialist, who also educates the patient to call in regards to warning signs and symptons. If the blood pressure and markers of renal function were all normal at conception and the subject is not overweight the outlook is quite good.