Identifying risk factors for preeclampsia in subsequent pregnancies in women with a history of preeclampsia

Preeclampsia (PE) is a prevalent hypertensive disorder of pregnancy that causes significant maternal-fetal mortality. It has been reported that 60% of maternal mortality can be prevented. Studies have demonstrated that nursing has the ability to influence the mortality rates by providing proactive and competent care. Part of proactive, competent care is to identify those women at the highest risk for PE. Multiple studies have identified a history of PE as a significant risk factor for PE in future gestations. We conducted a nested case control study with our Rule Out Pre-Eclampsia (ROPE) cohort to identify comorbidities most likely to lead to recurrent PE. A total of 116 women underwent evaluation to rule out PE. Demographic and comorbidity data was obtained. Descriptive statistics, bivariate analyses, and logistic regression were performed as indicated with α=0.05. PE developed in 88 of 116 women (75.6%). Characteristics were analyzed for the prediction of the development of PE in order of importance. Recognition of these risk factors will be of value to nurses when counseling and assessing women regarding PE. Poster Presentations