Tezted’s Post

We need more than just #aspirin as a method to reduce and prevent #preeclampsia Blu Greenberg, the orthodox jewish feminist, once said about the barriers of tradition to women's participation: "where there's a rabbinical will there's a rabbinical way". I think it's also true for medicine, where there's a medical will there's a medical way. We need to put more funding, grants, and hiring emphasis on research for maternal perinatal health. We need to emphasize the "maternal" part in the maternal-fetal health equation as much as the "fetal" part. #PreeclampsiaAwarenessMonth

May is Preeclampsia Awareness month. Preeclampsia happens in about 1 in 25 pregnancies in the United States. Preeclampsia is caused by an improperly implanted placenta. Preeclampsia is not caused by stress, diet, lifestyle or anything else. Preeclampsia encompasses 2 to 8% of pregnancy-related complications, greater than 50,000 maternal deaths, and over 500,000 fetal deaths worldwide. 1 in 25 is not just a statistic. It’s me, I am the 1 in 25, I am a Preeclampsia survivor. #preeclampsia #preeclampsiaawareness #preeclampsiasurvivor

May is Preeclampsia Awareness Month, a month-long communication campaign to raise awareness of this life-threatening hypertensive disorder of pregnancy. Our 2024 theme is "Predict Prevent Prevail." Researchers and clinicians still do not fully understand why preeclampsia and other hypertensive disorders occur in 5-8% of all pregnancies. Currently, we have few options besides a patient's medical and pregnancy history to help us predict what patients may be at risk for preeclampsia. Our only prevention tool is to place high-risk patients on prenatal aspirin, in the hopes that it may delay or prevent the onset of preeclampsia. But with more research and improved healthcare practices, we can prevail over preeclampsia. It will take us all: patients raising their voices in driving research and improving healthcare practices. Researchers receiving funding to investigate preeclampsia. Clinicians implementing what research shows saves lives. Policymakers prioritizing maternal health research funding in general and preeclampsia research in specific. Grab graphics at https://lnkd.in/g8FRWAMi and spread awareness all month long! #Preeclampsia #PreeclampsiaAwarenessMonth #PredictPreventPrevail #PreAM24

Hypertension during pregnancy is becoming an increasingly common and dangerous condition. Despite advances in monitoring and care, too many families are still affected by preventable tragedies. One story that echoes through the hearts of many is of a mother who passed away shortly after delivering her son due to undiagnosed eclampsia, a condition that can develop from untreated high blood pressure. While recent efforts, like new guidelines from the American College of Obstetricians and Gynecologists, are improving outcomes, the reality is that maternal mortality rates in the U.S. are rising. The challenge is ensuring that every healthcare provider applies these life-saving practices consistently. More can be done to prevent strokes and other life threatening complications during and after pregnancy by monitoring for signs like high blood pressure and listening to patients. Every mother's voice deserves to be heard, and their lives should be safeguarded. #MaternalHealth #HypertensionAwareness #PatientAdvocacy #WomensHealth https://lnkd.in/gfKHeicE

This disease is progressive, and it can be unpredictable. It obviously affects pregnant women usually after 20 weeks' gestation. BUT...... What may surprise you is that it can also exist up to 6 weeks AFTER delivery in that immediate post partem period. On exam hypertension and proteinuria may be some of the hallmark signs + earliest clues that something may be going awry. This is why antepartum care is devoted in large part to blood-pressure screening for hypertension. This condition seems to be most common in first time moms, moms over the age of 35, and lastly in multigravid moms. The expectant mother may be totally symptom free, but as the pregnancy progresses, pre-eclampsia can become life threatening. ⠀ Most cases of preeclampsia arise at term and are mild and transient and resolve soon after the delivery. However, 5 to 20% of women, especially those in whom preeclampsia arises well before term, have life-altering, life-threatening, or fatal complications. If the pre-eclamptic patient starts to seize, things get a little more complicated and the diagnosis then coverts over to full blown eclampsia. If left untreated this can cause both maternal and fetal death. A personal anecdote, my own mother had toxemia (the historic term for pre-eclampsia) and her BP was dangerously high. My twin and I were born emergently via c-section 3 months early and weighed < 4 lbs. combined. Safe to say it's a miracle any of us survived as this was nearly 40 years ago. Babies born at 27 weeks' gestation really had an uphill battle in the mid-80's. Of note, while most pregnancies are benign and only require a BLS skill set, we cannot lose sight of the fact that pregnancy is a physiologic stressor for the mom to be. Lots of dramatic changes happen as they set up shop and prepare for the developing fetus over the next 9 months. Hormones and blood volume increase, the diaphragm elevates, and lung volumes decrease just to name a few. If mom has any baseline issues like HTN, DM, seizure disorders, they will tend to be exacerbated during the pregnancy. Written by: Joshua Ishmael MBA, MLS(ASCP), NRP 🌐 www.passwithpass.com/blog #emt #emtstudent #nremt #paramedicschool #medicstudent #emtschool #medicschool #medic #futureparamedic #passwithPASS #nremtp #nremtprep #futureEMT #studentnurse #nursingstudent #emseducation #nclex #nursingstudent #nclextips #nursingschool #passthenclex

I’m officially 30 weeks pregnant, which means I’m officially on preeclampsia watch, with a 20% chance that the same scary hypertensive disorder that reared its ugly head with my twins will return with our caboose 🚂 Max, Annie, and I got lucky. So many are not. After all, maternal mortality statistics in the US doubled between 2018 and 2021, and hypertensive disorders account for nearly 32% of prenatal and postpartum deaths. And their incidence is only increasing 📈 My family, friends, and I *knew* something was off right about this time during my twin pregnancy, but as much as I probed my care team, I couldn’t officially be diagnosed with preeclampsia until they found protein in my urine 💦 And when they did… well, Max & Annie were born the very next day, at 34 weeks and 4 days, going on to spend almost a month in the NICU (bless those nurses at Rose Medical Center 💫) There’s some incredible innovation in predicting, preventing, and managing preeclampsia/hypertensive disorders during pregnancy (heyooo Mirvie, Thermo Fisher Scientific, Materno, Chiyo, Marma, and more), but at Rescripted, we’re building up Mom’s knowledge base 🧠 The world doesn’t need another “top 10 strollers of 2024” list; women need free, readily available, and easily accessible information during the most profound change to their bodies that they’ll experience in their lifetime. Rescripted is here to fill that void. Babies are cute and all, but we’re here for Mom 💪 #womenshealth #maternalhealth #preeclampsia Check out my full story in the comments ⬇

According to a new study, babies born before the 29th week of pregnancy have a much greater risk of developing panic disorder later in life. Prematurely born babies could have higher rates of panic disorder later in life due to the stress they experienced at birth and prolonged medical care would be required to stabilise their condition. There are several reasons a premature birth might occur, including health conditions such as diabetes, high blood pressure, or a history of preterm birth, along with infections, placenta and carrying more than one baby. A baby is born before 37 weeks of pregnancy is called premature or a preterm birth. The earlier the birth, the more serious the health risks to the baby. Preterm infants in need of special care are admitted to NICU. Unmanaged health conditions can lead to preterm birth and other complications. Chronic health conditions, such as diabetes or heart disease are causes of pre-term birth. HeraCARE enables healthcare providers to manage these chronic health conditions during pregnancy which can also result in early detection of complications such as preeclampsia. Stress management and monitoring is another important aspect of the pregnancy care. Allowing for a hybrid face to face and virtual visits, HeraCARE removes barriers to attending all prenatal care appointments, starting in the first trimester. The link between preterm birth and panic disorder emphasises the need for advanced, long-term care solutions in maternal and infant health. Platforms like HeraCARE, with its focus on comprehensive care, continuity of care, remote monitoring and data-driven insights, is well-positioned to be part of the solution that improves outcomes for mothers and their babies. #preterm #NICU #rpm #gdm #maternalhealth #maternitycare #femetech #heracare HeraMED Limited

While others may be focused on endeavors like trying to get to Mars or spending millions to live well past 100, we currently live in a world that undervalues women’s health. Pregnancy, in particular, can quickly go from a joyous time to being a harrowing and dangerous experience. We need to double down on innovation tackling the #maternalhealth crisis. At Mirvie, we’re pioneering a new approach to understand the biology of pregnancy by leveraging #RNA to predict life-threatening complications months in advance. This innovation can usher in a new era of #pregnancyhealth with a focus on prediction and prevention of complications. Read more in my recent op-ed in @FastCompany here: https://lnkd.in/g-B_dmsk

Introduction: Hypertension in pregnancy is one of the three main causes of maternal death after hemorrhage and sepsis. Education of hypertensive pregnant mothers can be effective in promoting self-care behaviors and ultimately proper control of blood pressure. The use of educational models can be very helpful in this regard compared to traditional methods. Objective: This study aims to assess the effectiveness of education based on the health belief model (HBM) in improving the self-care behaviors of pregnant women with hypertension. Materials and Methods: This is a quasi-experimental study with a pre-test/post-test design that was conducted on 90 women with hypertension in pregnancy who referred to one of the specialized women’s hospitals in Rasht, Iran, during January-August 2020. The participants were randomly divided into two groups of intervention and control using the random allocation software. The data collection tools included a demographic/obstetric form, a researcher-made HBM questionnaire, and a researcher-made hypertension in pregnancy self-care profile. The HBM-based education was provided to the intervention group at three sessions with an interval of one week. Data analysis was done using chi-square test, independent t-test, and ANCOVA. Cohen’s d (effect size) was also measured.  Results: The final data analysis was done on 39 women in the intervention group (mean age: 33.48±4.54 years) and 38 women in the control group (mean age: 32.73±5.93). The difference in the scores of knowledges and HBM constructs was not statistically significant between the two groups at baseline, but it was significant after education (P=0.001). The difference between the two groups was not statistically significant in self-care behaviors at baseline, except for diet/physical activity and disease/stress management (P=0.001). To control the effects of these two variables, ANCOVA was used. After intervention, the difference between the two groups in self-care behaviors was statistically significant (P=0.001). Conclusion: The HBM-based education can make pregnant mothers more aware of hypertension and increase their self-care behaviors for proper control of blood pressure. #HealthBeliefModel #SelfCareBehaviors, #HypertensionInPregnancy, #ChronicHypertension

Echocardiography during pregnancy or early postpartum can assist in identifying women with preeclampsia at greater risk of future hypertension. https://brnw.ch/21wLgEU