既往子痫前期病史者再次妊娠的保健

Health care for a second pregnancy in women with previous preeclampsia

子痫前期病史是此次妊娠子痫前期发病的独立危险因素,复发性子痫前期有更严重的不良妊娠结局。子痫前期复发受多因素影响,预防尤为重要。全面评估母体风险因素、强化孕期个体化管理、实施早期预防和早期干预、在恰当的时机终止妊娠,是减少或避免子痫前期复发、改善妊娠结局和远期预后的关键。

The history of preeclampsia is an independent risk factor for recurrence of preeclampsia during pregnancy,which has more severe adverse pregnancy outcomes.Recurrence of this disease is affected by multiple factors,and prevention is especially critical.Comprehensive assessment of maternal risk factors,strengthening individualized management during pregnancy,implementation of early prevention and early intervention,and termination of pregnancy at an appropriate time are the keys to reducing or avoiding recurrence of preeclampsia and improving pregnancy outcome and long-term prognosis.