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Hypertension in Pregnancy Volume 33, 2014 - Issue 2
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Research Article

First trimester maternal characteristics, Doppler parameters and serum analytes after preeclampsia

Dana M. Block-AbrahamDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine Baltimore, MDUSA
,
Ozhan M. TuranDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine Baltimore, MDUSA
,
Lauren E. DoyleDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine Baltimore, MDUSA
,
Jerome N. KopelmanDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine Baltimore, MDUSA
,
Robert O. AtlasDepartment of Obstetrics & Gynecology, Mercy Medical Center Baltimore, MDUSA
,
Chuka B. JenkinsDepartment of Obstetrics & Gynecology, MedStar Harbor Hospital and Franklin Square Hospital Medical Centers Baltimore, MDUSA
,
Christopher R. HarmanDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine Baltimore, MDUSA
,
Miriam G. BlitzerDepartment of Pediatrics, University of Maryland School of Medicine Baltimore, MDUSA
&
Ahmet A. BaschatDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine Baltimore, MDUSACorrespondence[email protected]
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Pages 204-214 | Published online: 04 Dec 2013
 
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Abstract

Objective: To evaluate the impact of prior preeclampsia on first trimester assessment in subsequent pregnancy. Methods: A total of 1283 parous patients were prospectively enrolled at 9–14 weeks of gestation. Maternal biophysical characteristics, ultrasound parameters and placental analytes were compared between women with and without prior preeclampsia. Results: There is no association between prior preeclampsia and the first trimester ultrasound parameters or placental analytes studied. The effects of prior preeclampsia in subsequent pregnancy are exaggerated by increasing parity and are predominantly blood pressure-related, independent of other cardiovascular risk factors. Conclusion: There is a potential role for lifestyle modification and stricter pregnancy blood pressure control in patients with prior preeclampsia.

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