Preventing Preeclampsia in a 36-year-old Pregnant Woman with High Blood PressureHigh Risk Pregnancy Clinical Pearls of Wisdom Q&A Case
Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, most often the liver and kidneys. Preeclampsia usually begins after 20 weeks of pregnancy in women whose blood pressure had been normal.
Left untreated, preeclampsia can lead to serious — even fatal — complications for both you and your baby. If you have preeclampsia, the most effective treatment is delivery of your baby. Even after delivering the baby, it can still take a while for you to get better.
Pregnant Patient Case:
A 36-year-old woman has recently found out that she is pregnant.
She is nulliparous and presents at 9 weeks gestation based on her last menstrual period.
She has planned on pregnancy and started prenatal vitamins before conception.
An ultrasound at first visit is concordant with her dates by LMP.
There is no family history of preeclampsia, but she reports that her mother had gestational diabetes during her pregnancy, and her mother went on to have Type 2 diabetes later in life.
The patient, at her initial visit at 9 weeks gestation, has a blood pressure of 144/92 mm Hg.
She does not have proteinuria, and her blood glucose, hepatic enzymes and complete blood count are all normal
Of the following, which, when prescribed, will reduce the risk of preeclampsia in this patient?
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