The Implementation of Preeclampsia Screening and Prevention (IMPRESS) Study.

Background: Preeclampsia affects between 2% and 5% of pregnancies and is one of the leading causes of perinatal morbidity and mortality worldwide. Despite strong evidence that the combination of systematic preeclampsia screening based on the Fetal Medicine Foundation preeclampsia risk calculation algorithm with treatment of high-risk patients with low-dose aspirin reduces the incidence of preterm preeclampsia more than currently used risk-factor-based screening, real-world implementation studies have not yet been done in Canada.

Objective: This study aimed to assess the operational feasibility of implementing first-trimester screening and prevention of preterm preeclampsia (<37 weeks) alongside a publicly funded first-trimester combined screening program for aneuploidies.

Resistance exercise decreases the need for insulin in overweight women with gestational diabetes mellitus.

Objective: This study examines the effects of circuit-type resistance training on the need for insulin in women with gestational diabetes mellitus.

Study Design: Thirty-two patients with gestational diabetes mellitus were randomly assigned either to a group that was treated with diet alone or to a group that was treated with diet plus resistance exercise.

Results: The number of women whose condition required insulin therapy was the same, regardless of treatment.