Screening for Preeclampsia

医学 子痫前期 产科 怀孕 遗传学 生物
作者
Kirsten Bibbins‐Domingo,David C. Grossman,Susan J. Curry,Michael J. Barry,Karina W. Davidson,Chyke A. Doubeni,John W. Epling,Alex R. Kemper,Alex H. Krist,Ann Kurth,C. Seth Landefeld,Carol M. Mangione,William R. Phillips,Maureen G. Phipps,Michael Silverstein,Melissa A. Simon,Chien‐Wen Tseng
出处
期刊:JAMA [American Medical Association]
卷期号:317 (16): 1661-1661 被引量:211
标识
DOI:10.1001/jama.2017.3439
摘要

Importance

Preeclampsia affects approximately 4% of pregnancies in the United States. It is the second leading cause of maternal mortality worldwide and may lead to serious maternal complications, including stroke, eclampsia, and organ failure. Adverse perinatal outcomes for the fetus and newborn include intrauterine growth restriction, low birth weight, and stillbirth. Many of the complications associated with preeclampsia lead to early induction of labor or cesarean delivery and subsequent preterm birth.

Subpopulation Considerations

Preeclampsia is more prevalent among African American women than among white women. Differences in prevalence may be, in part, due to African American women being disproportionally affected by risk factors for preeclampsia. African American women also have case fatality rates related to preeclampsia 3 times higher than rates among white women. Inequalities in access to adequate prenatal care may contribute to poor outcomes associated with preeclampsia in African American women.

Objective

To update the 1996 US Preventive Services Task Force (USPSTF) recommendation on screening for preeclampsia.

Evidence Review

The USPSTF reviewed the evidence on the accuracy of screening and diagnostic tests for preeclampsia, the potential benefits and harms of screening for preeclampsia, the effectiveness of risk prediction tools, and the benefits and harms of treatment of screen-detected preeclampsia.

Findings

Given the evidence that treatment can reduce maternal and perinatal morbidity and mortality, and the well-established accuracy of blood pressure measurements, the USPSTF found adequate evidence that screening for preeclampsia results in a substantial benefit for the mother and infant. In addition, there is adequate evidence to bound the harms of screening for and treatment of preeclampsia as no greater than small. Therefore, the USPSTF concludes with moderate certainty that there is a substantial net benefit of screening for preeclampsia in pregnant women.

Conclusions and Recommendation

The USPSTF recommends screening for preeclampsia in pregnant women with blood pressure measurements throughout pregnancy. (B recommendation)

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
田南松完成签到,获得积分10
1秒前
开朗冬萱完成签到 ,获得积分10
2秒前
firewood完成签到,获得积分10
4秒前
Tonsil01发布了新的文献求助10
5秒前
BettyNie完成签到 ,获得积分10
6秒前
田南松发布了新的文献求助10
8秒前
wangwang完成签到,获得积分10
8秒前
8秒前
研友_LX7478完成签到,获得积分10
10秒前
Buduan完成签到,获得积分10
10秒前
JIE完成签到,获得积分10
10秒前
tg2024完成签到 ,获得积分10
11秒前
777777777完成签到,获得积分10
13秒前
火星上的糖豆完成签到,获得积分10
15秒前
竹子发布了新的文献求助10
15秒前
ycsqz完成签到,获得积分10
15秒前
16秒前
充电宝应助乐乐茶采纳,获得10
19秒前
姜峰完成签到,获得积分10
19秒前
20秒前
yifei完成签到,获得积分10
22秒前
han应助Tonsil01采纳,获得10
22秒前
Ada发布了新的文献求助10
24秒前
1112发布了新的文献求助10
24秒前
yangyangyang完成签到 ,获得积分10
25秒前
mori发布了新的文献求助10
25秒前
小白菜完成签到,获得积分10
25秒前
nianshu完成签到 ,获得积分10
26秒前
玉崟完成签到 ,获得积分10
27秒前
LinYX完成签到,获得积分10
27秒前
哈利波特完成签到,获得积分10
27秒前
dajiejie完成签到 ,获得积分10
27秒前
jor666完成签到,获得积分10
28秒前
kryptonite完成签到 ,获得积分10
29秒前
过河小卒完成签到 ,获得积分10
30秒前
31秒前
Ada完成签到,获得积分20
31秒前
虚幻谷波完成签到,获得积分10
31秒前
1112完成签到,获得积分10
32秒前
高分求助中
Aspects of Babylonian celestial divination : the lunar eclipse tablets of enuma anu enlil 1500
中央政治學校研究部新政治月刊社出版之《新政治》(第二卷第四期) 1000
Hopemont Capacity Assessment Interview manual and scoring guide 1000
Classics in Total Synthesis IV: New Targets, Strategies, Methods 1000
Mantids of the euro-mediterranean area 600
Mantodea of the World: Species Catalog Andrew M 500
Insecta 2. Blattodea, Mantodea, Isoptera, Grylloblattodea, Phasmatodea, Dermaptera and Embioptera 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 内科学 物理 纳米技术 计算机科学 基因 遗传学 化学工程 复合材料 免疫学 物理化学 细胞生物学 催化作用 病理
热门帖子
关注 科研通微信公众号,转发送积分 3434873
求助须知:如何正确求助?哪些是违规求助? 3032242
关于积分的说明 8944680
捐赠科研通 2720152
什么是DOI,文献DOI怎么找? 1492192
科研通“疑难数据库(出版商)”最低求助积分说明 689735
邀请新用户注册赠送积分活动 685882