Preeclampsia is the elevation of blood pressure associated with edema or protein excretion in the urine that occurs after the 20th week of pregnancy and may continue until the first week after birth. It is classified into mild, severe preeclampsia and eclampsia. Preeclampsia rate is 10% and severe preeclampsia rate is 1%. But the most severe one, eclampsia accompanied by contractions similar to epileptic seizures is seen in one of 1000 pregnancies.
Who is at risk in pregnancy stages?
Two-thirds of the patients are young mothers experiencing their first pregnancies.
- Those with a history of preeclampsia,
- Patients with systemic diseases such as kidney disease,
- Very young ones or over 35 years old,
- Multiple Pregnancy,
- Overweight pregnant women, are at risk for preeclampsia.
You can learn about pregnancy stages and get week by week pregnancy information in our website.
What causes preeclampsia, what are the findings?
Since the cause is not known exactly, it is not possible to determine in advance whether preeclampsia will progress in the future. However, studies about this subject are underway. Abnormal development of the placenta, dysfunctions of the internal layer of the systemic vessels are the most known factors.
What are the complications?
High blood pressure may cause contractions, brain hemorrhage and blindness in the mother. Kidney failure may occur due to kidney damage. Bleeding may occur between the liver and the surrounding membrane, which may cause laceration in the liver. Sudden increases in heart load can result in heart failure. Lung edema may accompany these conditions. Again, there may be fatal conditions due to clotting disorder in the mother blood.
In baby, the most common problem is growth retardation. In women with severe preeclampsia, approximately 55% of babies experience growth retardation. Premature birth is more common in those mothers. Baby deaths also has a considerable rate of realization.
How is the treatment done?
Blood pressure and weight monitoring at each routine control is the simplest way to notice this situation. It is also important to follow the symptoms and inform the doctor about the changes observed. It is the best method for the treatment of preeclampsia during pregnancy stages as well as for the early detection of other problems.
Mother candidate should rest!
In mild preeclampsia, a hospitalization or outpatient treatment can be performed and the baby’s condition should closely monitored. In these circumstances, it is recommended to start the delivery at 37 weeks of gestation. In patients below the 37th week, the mother should be followed up closely in the hospital or at home rather than immediately planning the delivery. It should be advised that the mother candidate should lie on her left side while resting, follow the baby movements well, come regularly to the pregnancy controls and follow up and record her blood pressure at regular intervals.
Our articles are prepared to give advice. You should consult your doctor for exact information.