Viewers of Hulu's critically acclaimed series 'Paradise' were shocked by the death of Shailene Woodley's character, Annie, who suffered from preeclampsia, a serious pregnancy complication characterized by new-onset high blood pressure. The show depicted Annie monitoring her blood pressure regularly, which consistently showed high readings, foreshadowing her tragic outcome. After going into labor and delivering her baby, Annie died shortly after birth, highlighting the potentially life-threatening nature of the condition.
According to the CDC, preeclampsia occurs in 5 to 7% of all pregnancies. While many women recover fully, it can be dangerous for both mother and baby. The American Heart Association defines preeclampsia as new-onset high blood pressure after the 20th week of pregnancy, with systolic pressure of 140 mm Hg or higher and/or diastolic pressure of 90 mm Hg or higher on two readings at least four hours apart. Other signs include protein in urine or organ damage.
Symptoms may include severe headaches, vision changes, upper abdominal pain, nausea, vomiting, shortness of breath, and rapid swelling. However, some women experience no symptoms. Currently, there is no routine test in the U.S. to predict preeclampsia, but monitoring during prenatal visits is crucial. While there is no proven prevention, low-dose aspirin may reduce risk for at-risk women. The American Heart Association recommends early and regular medical care, home blood pressure monitoring if advised, a heart-healthy diet, and regular physical activity.
Preeclampsia treatment depends on the mother's health and the condition's progression. Medications like beta-blockers or calcium channel blockers may be used to lower blood pressure. In severe cases, early delivery may be necessary, typically after 34 weeks, with medication to help the baby's development if earlier. For non-severe cases, delivery at 37 weeks is recommended. Symptoms may persist after delivery but usually resolve within six weeks.
Women with preeclampsia face higher long-term risks of high blood pressure, neurologic issues, diabetes, heart disease, and stroke. The American Heart Association provides resources at GoRedforWomen.org to support women's heart health. The organization, a leading source of health information for over a century, is dedicated to equitable health and funded by more than 35 million volunteers globally. The Go Red for Women movement, nationally sponsored by CVS Health, aims to increase awareness of heart disease as the leading cause of death in women.
