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Pre-Eclampsia and Maternal Cardiovascular Function, SIP no. 79 🌟 Core message 🌟 Pre-eclampsia is not one disease. Viewed through the lens of the mother's circulation, it splits into two haemodynamic phenotypes — a hypodynamic (resistance-dominant) pattern and a hyperdynamic (volume-dominant) pattern — which differ in timing, fetal consequences, maternal BMI, and, critically, in which antihypertensive and fluid strategy will help rather than harm. Maternal cardiovascular dysfunction is detectable weeks before symptoms and in some women even before conception, implying it is aetiological rather than merely consequential. Non-invasive tools to measure this exist and are safe in pregnancy, but remain largely confined to research settings. The paper argues for moving them into routine care. #stayupdated with #eMRCOG

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