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Everything you need to know about preeclampsia
مقاله تخصصی

Everything you need to know about preeclampsia

3 months ago
237 بازدید

Pre-eclampsia after childbirth can lead to the death of the mother.. because it can lead to eclampsia, a serious disease that is dangerous to the mother's health and in rare cases causes death.. Women with pre-eclampsia have eclampsia with seizures.

The only way to treat preeclampsia is delivery.... Symptoms of postpartum preeclampsia can last from 1 to 6 weeks or more.... Continue this article with GCORP LLC to take a look at the symptoms, causes, and complications of postpartum preeclampsia.

Remember that through GCORP LLC you can get online or face-to-face consultation from the best gynecologists in Tehran.

What is preeclampsia of pregnancy?

Preeclampsia of pregnancy, formerly called toxemia, is a condition in pregnant women characterized by high blood pressure, proteinuria, and swelling of the feet and hands. The severity can vary from mild to severe. It usually occurs late in pregnancy, preeclampsia may occur postpartum or even earlier.

You can protect yourself by learning the signs of preeclampsia and seeing your doctor for regular prenatal care. Catching preeclampsia early may reduce the chance of long-term problems for both mother and baby.

Symptoms and symptoms of preeclampsia

In addition to swelling (also called edema), protein in the urine, and high blood pressure, symptoms of preeclampsia include:

  • Weight gain in 1 or 2 days due to a large increase in body fluids
  • Abdominal pain, especially on the right and upper side
  • Severe headaches
  • Change in reflexes
  • reduction or cessation of urination
  • Vertigo
  • Vomiting and severe nausea
  • Changes in vision such as halos, floaters, or blurred vision

Preeclampsia of pregnancy usually occurs close to delivery and sometimes remains with the mother until after delivery.. Some women with preeclampsia have no symptoms, so it's important to see your doctor for regular blood pressure and urine tests.

When do symptoms appear?

Pre-eclampsia can occur as early as 20 weeks of pregnancy, but is rare....Symptoms often begin after 34 weeks....In a few cases, pre-eclampsia symptoms develop postpartum and within 48 hours of delivery....They usually go away on their own, but can be present up to 12 weeks after delivery.

Causes of preeclampsia

Many experts believe that preeclampsia and eclampsia are caused by improper functioning of the placenta, but the exact cause is still not clear.... Some think that improper pregnancy nutrition or high body fat can be effective in this.... lack of uterine blood flow and genes can also be effective in this....

Other high blood pressure disorders in pregnancy

Preeclampsia is one of the four blood pressure disorders in pregnant women. The other three are:

  • Pregnancy blood pressure... This blood pressure starts after the 20th week of pregnancy, but it does not follow the excretion of high amounts of protein in the urine... It usually disappears after delivery.
  • Chronic high blood pressure... This type of high blood pressure starts before pregnancy or before the 20th week of pregnancy.
  • Relationship of chronic blood pressure with preeclampsia... This chronic blood pressure worsens with continued pregnancy and causes more proteinuria and other complications....

Risk factors of preeclampsia

Things that can increase the likelihood of preeclampsia include:

  • People who are teenagers or over 40
  • African American race
  • first pregnancy
  • Having babies less than 2 years apart or more than 10 years apart
  • Pregnancy with a new partner
  • High blood pressure before pregnancy
  • History of preeclampsia Having a mother or sister with preeclampsia History of obesity
  • multiple pregnancy
  • In vitro fertilization
  • History of diabetes, kidney disease, lupus or rheumatoid arthritis

Complications of preeclampsia

Preeclampsia in pregnancy prevents the placenta from receiving enough blood, as a result the size of the fetus will be very small. This disorder is called fetal growth restriction.

This complication is one of the most common causes of premature birth and subsequent problems, including learning disorders, epilepsy, cerebral palsy, and hearing and vision disorders.

Preeclampsia can cause rare but serious complications, including:

  • Stroke
  • seizures
  • Accumulation of fluid in the chest
  • heart failure
  • Reversible blindness
  • Liver bleeding
  • Postpartum bleeding

When preeclampsia or eclampsia damages the liver and blood cells, you may experience a condition called HELLP syndrome.... This term stands for the following:

  • Hemolysis (H).... when the red blood cells carrying oxygen in the blood are destroyed.
  • Increase in liver enzymes (EL).... High amounts of these chemicals in the blood indicate liver problems.
  • Low platelet count (LP).... when blood clotting is impaired due to low platelet count...

HELLP syndrome is a medical emergency.... If symptoms occur, they include:

  • blurred vision
  • Chest or abdominal pain
  • Headache
  • Fatigue
  • Stomach upset or vomiting Swelling of the face or hands Bleeding gums or nose

Preeclampsia pregnancy can also cause sudden separation of the placenta from the uterus, which sometimes leads to stillbirth.

Diagnosis of preeclampsia

If you have high blood pressure and at least one of the following symptoms, you have preeclampsia:

  • The presence of large amounts of protein in the urine
  • Low blood platelet count
  • High levels of kidney-related chemicals in the blood
  • High levels of liver-related chemicals in the blood
  • The presence of fluid in the lungs New drug-resistant headache

To confirm the diagnosis, the doctor may perform tests, including:

  • Blood tests to check platelets and look for chemicals related to the kidneys or liver
  • Urine test to measure protein
  • Ultrasound, non-stress test or biophysical profiles to check the child's development

Treatment of preeclampsia

The only way to treat preeclampsia and eclampsia is to give birth. The doctor will talk to you about the time of delivery based on the time of pregnancy, the condition of the fetus in the womb, and the severity of preeclampsia.

If the baby is growing well, usually at 37 weeks or so, the doctor may recommend a delivery or cesarean delivery. This will prevent preeclampsia from getting worse.

If the baby is not close to term, you and the doctor can treat mild preeclampsia until the baby grows enough for a safe delivery...the closer to the due date, the better for the baby.

If you have mild preeclampsia, also known as preeclampsia without severe symptoms, your doctor may recommend the following:

  • Rest at home or hospital.... Sleep more on the left side.
  • Close monitoring with fetal heart rate measurement device and repeated ultrasounds
  • Medicines to lower blood pressure
  • blood and urine test

The doctor may recommend a hospital stay for closer monitoring.... Hospital care includes the following:

  • Medicine to prevent seizures, lower blood pressure and other problems
  • Steroid injection to help the baby's lungs grow faster
Other treatments include:
  • Magnesium injections to prevent seizures associated with eclampsia Hydralazine or other blood pressure medications

For severe preeclampsia, even if you are not close to term, your doctor may prescribe an immediate delivery. After that, the symptoms of preeclampsia should go away within 1 to 6 weeks, but it may take longer.

pre-eclampsia prevention

If you have a higher chance of developing preeclampsia, talk to your doctor about making lifestyle changes to improve your health. Useful tips:

  • Weight loss in case of overweight
  • Quit smoking
  • Regular exercise
  • Blood pressure or blood sugar control

Your doctor may recommend taking 81 mg (low dose) of aspirin daily... Do not take any medication, vitamins or supplements without consulting your doctor... If you want to know more about dos and don'ts during pregnancy, don't miss this article.

Final speech

Preeclampsia in pregnancy is usually dangerous and causes fetal and maternal complications... The main cause of this disease is still unknown and the only sure way to cure it is to terminate the pregnancy and remove the fetus and placenta... To prevent it, you must take pregnancy care seriously... In this regard, contact the obstetricians and gynecologists and professional obstetricians present at GCORP LLC through the online appointment facility.

Source: Webmd

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