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Preeclampsia, Screening, 2017

* Indicates an old grade definition

Recommendations: Screening for Preeclampsia

  • Preeclampsia: Screening- Pregnant Women
    Grade: B
    Specific Recommendations:

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

    Frequency of Service:

    Blood pressure measurements should be obtained during each prenatal care visit throughout pregnancy. If a patient has an elevated blood pressure reading, the reading should be confirmed with repeated measurements. Further diagnostic evaluation and clinical monitoring are indicated for patients with elevated blood pressure on multiple measurements.

    Risk Factor Information:

    All pregnant women are at risk for preeclampsia and should be screened. Important clinical conditions associated with increased risk for preeclampsia include a history of eclampsia or preeclampsia (particularly early-onset preeclampsia), a previous adverse pregnancy outcome, maternal comorbid conditions (including type 1 or 2 diabetes prior to pregnancy, gestational diabetes, chronic hypertension, renal disease, and autoimmune diseases), and multifetal gestation.49 Other risk factors include nulliparity, obesity, African American race, low socioeconomic status, and advanced maternal age.49

    In the United States, preeclampsia is more prevalent among African American women than among white women. 

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