Which of the following historical factors carries the highest risk of developing pre-eclampsia in a current pregnancy?
- A Previous severe pre-eclampsia before 28 weeks ✓
- B Previous pre-eclampsia at term
- C Maternal age over 40 years
- D Obesity with a BMI of 35
Correct answer: A. Previous severe pre-eclampsia before 28 weeks
Explanation
B history of severe preterm pre-eclampsia before 28 weeks is the strongest risk factor for developing pre-eclampsia in a subsequent pregnancy, with recurrence rates as high as 40 to 60 percent. While obesity and advanced maternal age are risk factors, they do not carry as high a recurrence risk.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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