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02 May 2018, Volume 34 Issue 5 Previous Issue    Next Issue

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Prevention of preeclampsia in autoimmune disease. SONG Yi-jun，LIU Jun-tao 2018, 34(5): 475-479.  DOI: 10.19538/j.fk2018050103 Abstract ( )   Preeclampsia is a common complication of pregnancy with high maternal and perinatal morbidity and mortality，whose main clinical manifestataions are hypertension and proteinuria after 20 weeks of gestation.It is difficult to identify pregnant women at high risk of preeclampsia before it presents clinically.Both systemic lupus erythematosus（SLE）and antiphospholipid syndrome（APS）put pregnancies at even high risk of preeclampsia.Understanding of the mechanisms through which SLE and APS contribute to preeclampsia helps to explain the high incidence rate of preeclampsia.To identify preeclampsia and thus give close monitoring and appropriate treatment to those at high risk of SLE and APS is of critical importance to improving maternal and fetal outcomes.The use of low dose aspirin as preeclampsia prevention in SLE and APS pregnancy may be the best choice by now.

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Chronic kidney disease and preeclampsia. HE Ying-dong，CHEN Qian 2018, 34(5): 480-484.  DOI: 10.19538/j.fk2018050104 Abstract ( )   In recent years，the incidence of chronic kidney disease has increased annually in pregnant women.If the patients complicated with chronic kidney disease suffer from preeclampsia during pregnancy，the maternal and perinatal outcomes will be affected seriously.In this paper，we will introduce the risk，diagnosis and prevention of preeclampsia in patients with chronic kidney disease，in order to improve the prognosis of these patients.

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Recognition and management of antihypertension of hypertensive disorders in pregnancy and prevention of preeclampsia. HU Rong，LI Xiao-tian 2018, 34(5): 484-488.  DOI: 10.19538/j.fk2018050105 Abstract ( )   Hypertensive disorders of pregnancy are one of the leading causes of peripartum morbidity and mortality.Prepregnancy evaluation in women with chronic hypertension，and standardized management of hypertensive disorders of pregnancy are important for reducing serious complications.

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Prevention of preeclampsia in pregnant women with abnormal glucose metabolism. JIN Bai，SUN Li-zhou 2018, 34(5): 488-493.  DOI: 10.19538/j.fk2018050106 Abstract ( )   Abnormal glucose metabolism is a common complication during pregnancy.The incidence of preeclampsia increased dramatically among pregnant women with abnormal glucose metabolism compared to those with normal glucose metabolism.A multimodal treatment including restriction of weight gain, glucose monitoring and management, blood pressure controlling，using Aspirin for antiplatelet therapy if necessary，could be used to reduce the incidence of preeclampsia among those women.

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How to prevent preeclampsia in multiple pregnancy. YU Wen-qian，LIU Cai-xia 2018, 34(5): 493-499.  DOI: 10.19538/j.fk2018050107 Abstract ( )   Preeclampsia is a serious complication of pregnancy，which can damage function of multiple organs.With the application of assisted reproductive technology and implementation of the two-child policy，the incidence of multiple pregnancies increases.Due to the special physiological changes of multiple pregnancy，the rate of preeclampsia is higher than that in singleton.There are many studies on the occurrence，prediction and prevention of preeclampsia in singleton pregnancies，but few studies in multiple pregnancy.This article describes the risk prediction，prevention and treatment of preeclampsia in multiple pregnancy.

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Thyroid dysfunction in pregnancy：risk of preeclampsia and prevention. XIAO Li，NIU Jian-min 2018, 34(5): 499-503.  DOI: 10.19538/j.fk2018050108 Abstract ( )   Thyroid dysfunction during pregnancy usually presents as hyperthyroidism or hypothyroidism.Untreated thyroid dysfunction in pregnancy can lead to multiple maternal and fetal complications and cause adverse pregnancy outcomes.Both hyperthyroidism and hypothyroidism can increase the risk of preeclampsia.Preeclampsia with abnormal thyroid function makes the disease become more complicated，and increases the risk of poor mother and child prognosis.Therefore，pre-pregnancy and early pregnancy screening of thyroid function，the use of drug-based therapy to maintain normal levels of thyroid hormone during pregnancy，and strict monitoring are helpful to reduce the risk of preeclampsia during pregnancy，and to improve pregnancy outcomes in preeclampsia patients with thyroid dysfunction.

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Prevention for recurrent preeclampsia. HE Jing，LIANG Cheng 2018, 34(5): 503-508.  DOI: 10.19538/j.fk2018050109 Abstract ( )   Preeclampsia is a common pregnancy complication that causes maternal and fetal morbidity and mortality.Although the incidence is higher in nulliparous women than in multiparae，any multipara who has a history of PE bears a higher risk，and if the previous PE is of an early onset，or complicated with eclampsia，HELLP syndrome or FGR，the recurrence risk goes even higher，probably with an even severer degree.The study of the reccurent PE is very challenging for obstetricians. For the multiparous women，the obstetricians should focus on providing a better antenatal counselling，promoting the mothers' health，standardizing the prenatal examination，taking comprehensive preventive measures，monitoring the gestational process and delivery timing，so as to maximize the interests of both the mothers and the babies.

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Gestational diet management in prevention of preeclampsia. LIU Xi-jing，ZHOU Rong 2018, 34(5): 508-512.  DOI: 10.19538/j.fk2018050110 Abstract ( )   Preeclampsia is one of the leading causes of maternal，fetal，and neonatal morbidity and mortality.However，it is difficult to prevent this kind of disease clinically.Both nutrition excess and deficiency are associated with the increased incidence of preeclampsia.Therefore，balanced diet and nutritional supplements may contribute to preventing preeclampsia.

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Improvement of antenatal care in preventing preeclampsia. BAI Yu-xiang，QI Hong-bo 2018, 34(5): 512-515.  DOI: 10.19538/j.fk2018050111 Abstract ( )   Preeclampsia is a special complication of pregnancy，which is a serious threat to maternal and fetal safety.The prevention of its development is of great significance.Through establishing risk assessment，balancing nutrition，controlling weight，taking proper exercise during pregnancy and earlier prophylactic use of aspirin，if necessary，preeclampsia incidence can be reduced fectively.

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Prevention and treatment of cardiovascular diseases induced by hypertensive disorders of pregnancy. MA Guo-jun，LIN Jian-hua 2018, 34(5): 515-519.  DOI: 10.19538/j.fk2018050112 Abstract ( )   Cardiovascular diseases induced by hypertensive disorders of pregnancy is a cardiac pump dysfunction that occurs on the basis of hypertensive disorders in pregnancy.In severe cases，there is even a group of heart failure syndromes characterized by left heart failure.The disease is extremely dangerous and has a high lethality.However，the disease often onsets occultly because its early symptoms are easily overlooked.Therefore，patients with hypertensive disorders complicating pregnancy should receive efficient antihypertensive treatments as well as dynamical heart function evaluation.In addition，active correction of high risk factors contributes to the prevention of heart failure.For patients who have had acute heart failure，besides the treatment for acute heart failure，it is also significant to take appropriate measures to treat the primary disease of preeclampsia and terminate the pregnancy in time.

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How to moniter and prevent severe preeclampsia. CAI Yan，WANG Xiao-ying 2018, 34(5): 520-525.  DOI: 10.19538/j.fk2018050113 Abstract ( )   Preeclampsia presents the characteristic of obvious progression of the disease，and some cases are atypical and develop to severe preeclampsia，which increases morbidity and mortality in mothers and children.Therefore，how to monitor and intervene the progress of preeclampsia，prolong the gestational age is the focus of obstetrician's attention.