On completion of 34 weeks, she was posted for elective LSCS in view of superimposed preeclampsia
and breech presentation of both twins.
Patients with history of chronic HTN without proteinuria, patients with previous history of renal disease and patients with chronic HTN with superimposed preeclampsia
(new onset proteinurea) were excluded.
Hypertensive disorders included mild, severe, or superimposed preeclampsia
, eclampsia, and gestational hypertension diagnosed in the antepartum period.
The application of BPSM was influenced mainly by superimposed preeclampsia
versus preeclampsia de novo.
9 However the diagnosis of superimposed Preeclampsia
is difficult in patients with renal disease who may already have hypertension and proteinuria.
Previous pre-eclampsia as an independent risk for superimposed preeclampsia
was reported to be associated with about 5-fold increase for the risk (OR: 4.
Study participants were [greater than or equal to]20 weeks gestational age and had new onset of hypertension with or without suspicion of preeclampsia or chronic hypertension (before 20 weeks of gestation) with suspected superimposed preeclampsia
Approximately 20% of women with chronic hypertension and 50% of those with chronic severe hypertension develop superimposed preeclampsia
Serum and placental lipid peroxides in chronic hypertension during pregnancy with and without superimposed preeclampsia
Young and nulliparous women are particularly vulnerable to developing preeclampsia, whereas older women are at greater risk for chronic hypertension with superimposed preeclampsia
Gestational hypertension and chronic hypertension do sometimes coexist with superimposed preeclampsia
, but should not be confused with preeclampsia or lead to management decisions that should apply only to patients with preeclampsia.