women who have had preeclampsia, suggest that features of the mother must also be considered.
All cases of de novo hypertension in pregnancy are unlikely to be attributable to a single cause. Rather, different etiologies may lead to the same phenotype in different women. Here we focus on the potential role of insulin resistance and as- sociated abnormalities as pathogenic factors for the devel- opment of hypertensive pregnancy and its complications. The insulin resistance syndrome provides a plausible link between hypertensive pregnancy and many of its risk factors and sequelae in both pregnancy and later life.