Sophie Bloom
    Sophie Bloom
     Sophie is 23 years old.
     She had been in a non-
       exclusive relationship that 
       recently ended.
     She and her ex-boyfriend 
       used condoms but they 
       weren’t very careful.
     She has recently 
       discovered she is 
       pregnant.
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    Risk Factors for Preeclampsia #1
    Risk Factors for Preeclampsia #1
     Maternal risk factors:
          o Age ≥20 or ≤35
          o African descent
          o Low socioeconomic status
          o Family history of preeclampsia
          o First pregnancy or pregnant with a new partner
          o Type 1 or gestational diabetes
          o Obesity
          o Chronic hypertension
          o Kidney disease
          o Thrombophilia (an increased tendency to clot)
                        Copyright © 2019 Wolters Kluwer • All Rights Reserved
    Risk Factors for Preeclampsia #2
    Risk Factors for Preeclampsia #2
     Pregnancy risk factors:
          o Chromosomal abnormalities of fetus (such as 
             trisomies 18 and 21)
          o Hydatiform mole
          o Hydrops fetalis
          o Multifetal pregnancy
          o Donated eggs or sperm
          o Structural congenital abnormalities of the fetus
                        Copyright © 2019 Wolters Kluwer • All Rights Reserved
    Preeclampsia During Pregnancy
    Preeclampsia During Pregnancy
     Preeclampsia is high blood pressure in pregnancy with at least one 
        of the following:
           o Decreased platelets 
           o Impaired liver function
           o New-onset renal insufficiency
           o Pulmonary edema
           o New-onset cerebral disturbances (such as seizures) 
           o New-onset visual disturbances
     There is no clear cause of preeclampsia.
     Preeclampsia involves multiple organ systems.
     Preeclampsia progresses at different rates in different women.
     Preeclampsia is associated with cardiovascular disease later in life.
                           Copyright © 2019 Wolters Kluwer • All Rights Reserved
    Question #1
    Question #1
     Is the following statement true or false?
       Preeclampsia progresses from mild to severe before 
       eclampsia begins.
                        Copyright © 2019 Wolters Kluwer • All Rights Reserved