Gottesfeld-Hohler Memorial Foundation Risk Assessment for Early-Onset Preeclampsia in the United States: Think Tank Summary

Joshua A. Copel*, Lawrence D. Platt, John C. Hobbins, Yalda Afshar, Olga Grechukhina, Divya Mallampati, Bryann Bromley, Aaron B. Caughey, William Grobman, Christina S. Han, Kypros Nicolaides, Christian Pettker, George Saade, Baha Sibai, Hygrav Simhan, Jiri Sonek, Erika Werner, Nancy Chescheir

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Preeclampsia is responsible for significant maternal and neonatal morbidity and is associated with a substantial economic burden. Aspirin has been shown to be effective in decreasing the risk of preterm preeclampsia; however, there is no consensus on the target population for aspirin prophylaxis. In May 2018, the Gottesfeld-Hohler Memorial Foundation organized a working group meeting with the goal of identifying the optimal preeclampsia risk-assessment strategy and consequent intervention in the United States. The meeting brought together experts from the leading professional societies. We discussed available literature and trends in preeclampsia risk assessment, current professional guidelines for identifying women at risk for preeclampsia, prophylactic use of aspirin in the United States and Europe, cost-effectiveness data, and feasibility of implementation of different assessment tools and preventive strategies in the United States. We identified specific knowledge gaps and future research directions in preeclampsia risk assessment and prevention that need to be addressed before practice change.

Original languageEnglish (US)
Pages (from-to)36-45
Number of pages10
JournalObstetrics and gynecology
Volume135
Issue number1
DOIs
StatePublished - Jan 1 2020

Funding

This meeting was sponsored by the Gottesfeld-Hohler Memorial Foundation. Preeclampsia research is supported through many private grants and institutes at the National Institutes of Health and the NICHD. Large studies and initiatives include the NuMOM2b study (https://numom2bhhs. rti.org/Learn), the Human Placenta Project (https:// www.nichd.nih.gov/research/supported/HPP/default), and studies conducted through the Obstetric-Fetal Pharmacology Research Centers (https://www.utmb. edu/nichd-oprc/) and the Maternal Fetal Medicine Units Network (https://mfmunetwork.bsc.gwu.edu/ PublicBSC/MFMU/MFMUPublic/). Data from all NICHD-supported studies are planned to be publicly housed on a single site to facilitate access for all investigators to data and specimens at the NICHD Data and Specimen Hub (https://dash.nichd.nih.gov/).

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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