Viewers of Hulu's critically acclaimed series “Paradise” witnessed the shocking death of Shailene Woodley's character, Annie, in Monday night's episode. Annie, a former medical student pregnant with her first child, suffered from preeclampsia, a condition characterized by new-onset high blood pressure during pregnancy. Throughout the show, Annie regularly monitored her blood pressure, which remained elevated, hinting at the underlying condition. In the episode, she goes into labor while traveling to Atlanta, delivers her baby successfully, but dies shortly after.
According to the CDC, preeclampsia affects an estimated 5 to 7% of all pregnancies. While most women with preeclampsia deliver healthy babies and recover fully, the condition can be life-threatening for both mother and baby. The American Heart Association (AHA) defines preeclampsia as new-onset high blood pressure occurring after the 20th week of pregnancy, with a systolic pressure of 140 mm Hg or higher and/or a diastolic pressure of 90 mm Hg or higher on two readings at least four hours apart. Other signs include high protein levels in the urine or evidence of organ damage.
Symptoms of preeclampsia can include persistent headaches unrelieved by medication, vision changes, upper abdominal pain, nausea or vomiting, shortness of breath, and rapid swelling, especially in the feet. However, some women may not notice any symptoms. Currently, there is no routine test in the U.S. to predict preeclampsia, so monitoring during prenatal visits is crucial. While there is no proven prevention, women at risk can lower their risk by taking low-dose aspirin during pregnancy, and should consult their healthcare professional about its appropriateness. The AHA recommends early and regular medical care, home blood pressure monitoring if advised, a heart-healthy diet, and regular physical activity for a healthy pregnancy.
Women who have had preeclampsia are at higher risk for developing high blood pressure, neurological problems, diabetes, heart disease, and stroke later in life. Treatment depends on the mother's health and the condition's progression. Medications such as beta-blockers (e.g., labetalol) or calcium channel blockers (e.g., nifedipine) are commonly used to lower blood pressure. In severe cases, early delivery may be necessary. If the mother is at least 34 weeks pregnant with severe symptoms, experts recommend delivery as soon as it is safe. For less severe cases, delivery at 37 weeks is recommended, and symptoms usually resolve within six weeks postpartum.
For more resources on women's heart health, visit GoRedforWomen.org.
