A multivariate analysis of risk factors for preeclampsia
Article Abstract:
Preeclampsia is a serious condition that generally occurs during the third trimester, or last three months, of pregnancy. It is characterized by rising blood pressure, headache, albumin (protein) in the urine, and edema (fluid retention) in the hands, ankles and feet. If left untreated, it can lead to eclampsia, which may cause convulsions, coma and death. Preeclampsia is associated with premature birth, intrauterine growth retardation, and stillbirth. Low-dose aspirin therapy prevents the development of preeclampsia, but since it may increase other risks, it is important to identify and treat only those women who are most likely to develop preeclampsia. Most women who develop preeclampsia have not been pregnant before or have had problems with preeclampsia in earlier pregnancies. Black women are at greater risk than white women, but there are conflicting reports about all other sociodemographic factors, leading to the designation of preeclampsia as a ''disease of theories.'' To test some of these observations, 139 women with preeclampsia and 132 healthy controls were assessed. Socioeconomic status was not a risk factor for preeclampsia. It was found that women with preeclampsia were heavier before pregnancy and were more likely to be black. Working during pregnancy more than doubled the risk of preeclampsia, which was not related to socioeconomic status. Cigarette smoking was found to protect against preeclampsia, as was alcohol consumption, but both of these behaviors pose risks to the fetus that outweigh any benefits they may have. Stillbirth was more common among smokers with preeclampsia. Risk factors differ between women who have never borne a child (nulliparas) and those who have produced one or more children (multiparas), and should be examined separately. Further investigations are necessary to determine who is at serious risk of developing preeclampsia. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1991
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Association of Maternal Endothelial Dysfunction With Preeclampsia
Article Abstract:
Women with a history of preeclampsia during pregnancy have abnormal blood vessel function that may involve free radical damage. This was the conclusion of a study of 113 with a history of preeclampsia and 48 with no history. The blood vessel abnormality was prevented with vitamin C, which is an anti-oxidant.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2001
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Effect of sedation with dexmedetomidine vs lorazepam on acute brain dysfunction in mechanically ventilated patients
Article Abstract:
A study examined the effects of dexmedetomidine and lorazepam on patients in coma or afflicted by delirium in the ICU who were on a ventilator. Results showed that patients treated with dexmedetomidine remained alive longer with a lower susceptibility to delirium or coma than those treated with lorazepam.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2007
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