Letters Clinical risk factors for pre-eclampsia determined in early pregnancy

Authors’ reply to Rafi

BMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i3402 (Published 22 June 2016) Cite this as: BMJ 2016;353:i3402
  1. Joel G Ray, clinician scientist1,
  2. Emily Bartsch, medical student2
  1. 1Departments of Medicine, Health Policy Management and Evaluation, and Obstetrics and Gynecology, St Michael’s Hospital, University of Toronto, Toronto, Canada
  2. 2University of Toronto, Toronto, Canada
  1. rayj{at}smh.ca

We thank Rafi for his comments on our paper.1 2

WHO, NICE, and the US Preventive Services Task Force (USPSTF) conclude, from systematic reviews, that aspirin prophylaxis is appropriate in high risk women.3 4 5

These guidelines list chronic kidney disease (CKD) and autoimmune diseases (eg, systemic lupus erythematosus; SLE) as risk factors designating women as “high risk” for pre-eclampsia. …

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