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Rethinking Preeclampsia: How Placental Growth Factor Is Transforming Diagnosis and Management
1Department of Obstetrics & Gynaecology, University of Toronto, Toronto, ON; Institute of Health Policy, Management and Evaluation, University of Toronto, ON; Maternal-Fetal Medicine, Mount Sinai Hospital, Toronto, ON.
Insights
Preeclampsia, a severe pregnancy complication, impacts maternal and fetal health globally. This review highlights placental growth factor (PlGF) as a key tool for improving preeclampsia prediction, diagnosis, and management.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- Preeclampsia is a major cause of maternal and fetal mortality worldwide.
- Current understanding of preeclampsia necessitates advancements in its prediction, diagnosis, and management.
- The condition affects pregnant individuals, their babies, and families, underscoring its significant impact.
Purpose of the Study:
- To review the role of placental growth factor (PlGF) in clinical practice.
- To explore how PlGF can enhance the prediction and diagnosis of preeclampsia.
- To discuss the potential of PlGF in managing preeclampsia and its complications.
Main Methods:
- Literature review focusing on placental growth factor (PlGF) and preeclampsia.
- Synthesis of current evidence on PlGF's utility in clinical settings.
- Presentation of findings at the Cannell Lecture, Society of Obstetricians & Gynaecologists of Canada.
Main Results:
- Placental growth factor (PlGF) shows promise in improving preeclampsia prediction.
- PlGF can aid in the timely diagnosis of preeclampsia.
- Utilizing PlGF can lead to better management strategies for preeclampsia and its sequelae.
Conclusions:
- Placental growth factor (PlGF) is a valuable biomarker for preeclampsia.
- Integrating PlGF into clinical workflows can improve patient outcomes.
- Further research and clinical adoption of PlGF are recommended for managing preeclampsia.
Abstract:
Preeclampsia is a severe pregnancy complication affecting pregnant people, their babies, and families. It remains a leading global cause of maternal and fetal morbidity and mortality. Our understanding of this disease continues to evolve, with opportunities for improved preeclampsia prediction, diagnosis, and management. This review outlines how placental growth factor could help clinicians better predict, diagnose, and ultimately manage preeclampsia and its complications. The material was originally presented at the Cannell Lecture in Toronto on November 29, 2024. The Cannell Lecture is hosted annually by the Society of Obstetricians & Gynaecologists of Canada and the University of Toronto in honour of Dr. Doug Cannell, who was Chair of the Department of Obstetrics & Gynaecology from 1950 to 1965.
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