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PIH Prophylaxis

Indications: Preeclampsia risk factors
1. Preeclampsia in prior pregnancy
2. Chronic Hypertension
3. Diabetes Mellitus
4. Renal disease
5. Advanced maternal age
Calcium Supplementation 1 gram per day
1. Lowers Preeclampsia risk
2. Lowers Blood Pressure
  1. Systolic lowered 5.4 mmHg
  2. Diastolic lowered 3.4 mmhg
3. Reference
  1. Bucher HC (1996) JAMA 275:1113
Aspirin 60 mg/day
1. Benefits
  1. Prevents Pregnancy Induced Hypertension
  2. Prevents Intrauterine Growth Retardation
2. References
  1. Coomarasamy (2003) Obstet Gynecol 101:1319
References
1. Fontaine (2000) in ALSO, B:1-36
2. Sibai in Gabbe (2002) Obstetrics, p. 945-74
3. (2000) Am J Obstet Gynecol 183(1):S1
4. Zamorski (2001) Clin Fam Pract 3:329

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.