S2 · E36July 20 · 1 hr 18 min
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Can you prevent preeclampsia? In this deep dive, we look at the root causes, proposed mechanisms, and holistic support strategies for one of the most serious complications of pregnancy. We are learning more about what may contribute to preeclampsia, including placental development, inflammation, oxidative stress, mitochondrial dysfunction, endothelial health, genetics, nutrient status, paternal factors, the microbiome, environmental toxins, and long-term cardiovascular risk.
Aspirin is one of the most recommended prevention tools, and in this episode we get into why it is used, what it actually does, and where its benefits seem strongest. But it turns out, there may be a lot more to the prevention conversation.
In this episode, we cover:
What preeclampsia is and how it is diagnosed
The two-stage model of preeclampsia: abnormal placental development and maternal vascular dysfunction
Oxidative stress, inflammation, mitochondrial dysfunction, platelet activation, and endothelial health
Genetic factors: MTHFR, homocysteine, methylation issues
Epigenetics: how lifestyle may influence gene expression in pregnancy
Environmental toxins, including BPA, phthalates, PFAS, heavy metals, air pollution, and placental health
The paternal factor: semen exposure, paternal antigens, sperm health, obesity, and immune tolerance
Gut, vaginal, oral, and urinary microbiome research
COVID infection, COVID vaccination data, and preeclampsia risk
Why preeclampsia is linked to future cardiovascular disease
What the evidence actually says about baby aspirin
Supplements that may help with prevention: Calcium, vitamin D, magnesium, lycopene, omega-3s, CoQ10, NAC, and more
Nutrition: the DASH diet, Mediterranean diet, fiber, probiotics, and food-first nutrition strategies
Exercise in pregnancy and what we know about hypertensive disorders
Sleep, obstructive sleep apnea, and preeclampsia risk
Mind-body medicine, stress physiology, mindfulness, yoga, acupuncture, and blood pressure regulation
How to think about prevention without fear, blame, or over-supplementing
The full episode transcript with citations for all studies mentioned can be found at: drmaryellawood.com
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