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Factors that must be considered at each prenatal care visit First level of care. Responsible: Family Physician and maternal and child health nurse. Please also refer to Figure 1. |
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| PHYSICAL EXAM MUST INCLUDE FOLLOWING DATA: |
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| Blood pressure |
Weight |
| Height |
Body mass index (BMI = kg/m2) |
| Uterine size |
Foetal movements |
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| RISK FACTORS FOR THE DEVELOPMENT OF PREECLAMPSIA: |
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| • History of Preeclampsia/Eclampsia in previous pregnancies |
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| • ≥ 3 pregnancies |
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| • Family history of Preeclampsia/Eclampsia in first degree relative |
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| • Obesity (get data from physical exam. Obesity criteria: BMI > 27) |
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| • Primigravida |
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| DEFINITION OF HYPERTENSION IN PREGNANCY: |
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| SBP ≥ 140 mm Hg or DPB ≥ 90 mm Hg |
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| Mean arterial pressure above 106 mm Hg |
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| Increase of 30 mmHg of SBP or increase of DPB above 15 mm Hg above baseline measures |
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| Measure blood pressure twice on the left arm, using the muffling of the sound (5th Korotkoff). |
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| The patient should be seated and external stimuli should be eliminated |
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Perez-Cuevas et al. BMC Pregnancy and Childbirth 2003 3:6 doi:10.1186/1471-2393-3-6 |
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