Patient's question:
I had my first child via cesarean section at 32 weeks due to preeclampsia. I was 23 years old at the time, and now my child is three years old.Doctor's answer:
There is still a recurrence of preeclampsia, but the cause is not clear, so only preventive measures can be taken to prevent the occurrence of preeclampsia. The key lies in doing well in prenatal care, understanding blood pressure levels (before pregnancy and in early pregnancy). During each prenatal check-up, in addition to measuring blood pressure, weight should also be measured, and protein in the urine should be checked. Pregnant women with a family history of preeclampsia, chronic persistent hypertension, kidney disease, diabetes, and multiple pregnancies or polyhydramnios should be paid more attention to. Taking 50–150 mg of aspirin orally every day during the second and third trimesters can reduce the risk of preeclampsia by 65%.For women taking oral contraceptives, blood pressure monitoring should be conducted to detect any rise in blood pressure in a timely manner. If blood pressure rises, the medication should be stopped, and alternative contraceptive methods should be used to prevent the occurrence of hypertension. At the same time, a physical examination should be performed. Blood pressure, weight, breast, liver, kidney, and gynecological examinations must be conducted before starting oral contraceptives to establish baseline levels. If it is found that oral contraceptives cannot be taken, they should not be used, and blood pressure should be measured regularly. Generally, blood pressure should be checked every 3 months in the first year and then every 6 months thereafter.