Cited by 132Pregnancy and preeclampsia studiesNeurological Complications and SyndromesMaternal Mental Health During Pregnancy and Postpartum

Pre-eclampsia part 2: prediction, prevention and management

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Chaiworapongsa, Tinnakorn, Chaemsaithong, Piya, Korzeniewski, Steven J., Yeo, Lami, Romero, Roberto·2014·Nature Reviews Nephrology

Abstract

An antiangiogenic state might constitute a terminal pathway for the multiple aetiologies of pre-eclampsia, especially those resulting from placental abnormalities. The levels of angiogenic and antiangiogenic proteins in maternal blood change prior to a diagnosis of pre-eclampsia, correlate with disease severity and have prognostic value in identifying women who will develop maternal and/or perinatal complications. Potential interventions exist to ameliorate the imbalance of angiogenesis and, hence, might provide opportunities to improve maternal and/or perinatal outcomes in pre-eclampsia. Current strategies for managing pre-eclampsia consist of controlling hypertension, preventing seizures and timely delivery of the fetus. Prediction of pre-eclampsia in the first trimester is of great interest, as early administration of aspirin might reduce the risk of pre-eclampsia, albeit modestly. Combinations of biomarkers typically predict pre-eclampsia better than single biomarkers; however, the encouraging initial results of biomarker studies require external validation in other populations before they can be used to facilitate intervention in patients identified as at increased risk. Angiogenic and antiangiogenic factors might also be useful in triage of symptomatic patients with suspected pre-eclampsia, differentiating pre-eclampsia from exacerbations of pre-existing medical conditions and performing risk assessment in asymptomatic women. This Review article discusses the performance of predictive and prognostic biomarkers for pre-eclampsia, current strategies for preventing and managing the condition and its long-term consequences.

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  1. [106]Sibai BM Cunningham FG Chesley’s Hypertensive Disorders in Pregnancy Lindheimer MD Roberts JM Cunningham GC 214 225 Elsevier 2009

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Authors
Chaiworapongsa, T., Chaemsaithong, P., Korzeniewski, S. J., Yeo, L., & Romero, R.
Affiliations
National Institutes of Health (US)
Corresponding author
Chaiworapongsa, Tinnakorn
Venue
Nature Reviews Nephrology
Published
2014-07-08
Volume
10
Issue
9
Pages
531-540
ISSN
  • 1745-8323 (ISSN-L)
  • 1759-5061
  • 1759-507X
OpenAlex
W2059849577
Cited by
132
References
147
Citations by year
2026: 5 · 2025: 4 · 2024: 8 · 2023: 6 · 2022: 14 · 2021: 9 · 2020: 11 · 2019: 14 · 2018: 17 · 2017: 18 · 2016: 11 · 2015: 12 · 2014: 3
FWCI
2.36
Type
journal article
Language
en
Open access
Locations
  • Nature Reviews Nephrology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (HHSN275201300006C, ZIAHD002400)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
  • Health Sciences › Medicine › Psychiatry and Mental health › Neurological Complications and Syndromes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
preeclampsia, predictive biomarkers, prognostic factors, anti-angiogenic factors, angiogenic factors, first-trimester prediction, aspirin prophylaxis, maternal hypertension, seizure prevention, term birth, placental abnormalities, perinatal outcomes, risk stratification
MeSH terms
Female, Humans, Pre-Eclampsia, Pregnancy, Prognosis, Risk Factors, Biomarkers, Risk Assessment

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