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Current aspects of the pathogenesis and prevention of preeclampsia

https://doi.org/10.30629/0023-2149-2023-101-12-651-656

Abstract

One of the most dangerous complications of pregnancy is preeclampsia. For effective prevention of preeclampsia, it is necessary to understand its mechanisms of development clearly. The analysis of modern patterns of preeclampsia cause and development are reviewed in this article. There are also the evidences of more effective strategies of prevention preeclampsia in our review, which have proven themselves most of all. The generalized endothelial mother’s disfunction is in the base of preeclampsia pathogenesis and caused by placental factors, genetical susceptibility and the lack of arterial invasion in trophoblast’s cell hereupon it increases the oxidative stress and inflammatory process, leading to complications of mother and fetus. More accurate understanding of preeclampsia mechanisms allows us to correct the adverse of lifestyle of patients and highlight those who are in the group of PE risk and need the prophylaxis to be prescribed. Nowadays, acetylsalicylic acid is a commonly accepted therapeutic medication and reliably effective (optimal dose from 75 to 162 mg). It is prescribed as the prevention from 11th to 14th week.

About the Authors

Yu. V. Shkurenko
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russia (Sechenov University)
Russian Federation

Yuliya V. Shkurenko — obstetrician-gynecologist, Assistant of the Department of Nursing

119991, Moscow



A. D. Ibatov
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russia (Sechenov University)
Russian Federation

Alexey D. Ibatov — Doctor of Medical Sciences, Head of the Department of Nursing

119991, Moscow



S. Yu. Trofimova
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russia (Sechenov University)
Russian Federation

Svetlana Yu. Trofimova — 6th year student at the Clinical Institute of Children's Healthcare

119991, Moscow



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Review

For citations:


Shkurenko Yu.V., Ibatov A.D., Trofimova S.Yu. Current aspects of the pathogenesis and prevention of preeclampsia. Clinical Medicine (Russian Journal). 2023;101(12):651-656. (In Russ.) https://doi.org/10.30629/0023-2149-2023-101-12-651-656

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ISSN 0023-2149 (Print)
ISSN 2412-1339 (Online)