What is preeclampsia or pregnancy toxicity and how can it be managed?

It's best to know that preeclampsia or pregnancy toxicity can affect 2 to 8 percent of pregnancies. Pregnant women who have been diagnosed with these conditions can easily manage their pregnancy by managing the condition.

What is Preeclampsia Preeclampsia?
Preeclampsia is a blood pressure disorder that usually begins after 20 weeks of gestation or from the second or third trimester. There are similar conditions with preeclampsia that occurs after delivery and is called postpartum poisoning. The high blood pressure level resulting from preeclampsia may be increased suddenly or slowly and persists until delivery. Its severity from mild to severe is classified as follows:

1. Mild preeclampsia
Even a slight partial hypertension can be a sign of pregnancy toxicity. However, it does not cause severe symptoms, and it is even possible that the symptoms remain unaffected. In spite of all of these cases, this blood pressure also requires constant medical examination.

2. Severe pre-eclampsia
This condition is associated with high blood pressure and there is a risk of other symptoms. Severe pre-chlamydia can lead to hospitalization and severe medical surveillance. In very rare cases, there will be a need for early delivery. Of course, it is not a concern, since most women with healthy teeth give birth to newborns.

The term eclampsia is different with preeclampsia because eclampsia is a more severe and severe condition, and includes seizures associated with high blood pressure. This usually requires early delivery of the fetus, regardless of the period of pregnancy.

Preeclampsia after childbirth
This condition usually occurs after delivery, and its occurrence is not associated with pregnancy toxicity and can occur even without preeclampsia during pregnancy. Postpartum preeclampsia symptoms may occur 48 hours to 6 weeks after delivery. They usually show the same symptoms of pregnancy toxicity.

Treatment of preeclampsia during pregnancy is a birth and is a measure of postprandial preeclampsia.

What is the cause of preeclampsia?
Although there are no known agents for preeclampsia, some risk factors for it include:

At the time of the first pregnancy
The first pregnancy of a new father
The interval between pregnancies is less than 2 years or more than 10 years
Presence of pregnancy poisoning in previous pregnancy
Family history of pregnancy poisoning
Having a history of high blood pressure or kidney disease in the mother
Age over 40 years
Twin, triple or multiple pregnancies
History of diabetes, blood clotting disorders, lupus, migraines
Obesity and overweight
IVF pregnancy
How to prevent pregnancy poisoning?
It can not be clearly stated that preeclampsia can be prevented, but some precautions can be taken with potential risk factors. For example, control of high blood pressure before pregnancy, weight loss, if necessary, and in the presence of diabetes, control it. If there is some blood clotting disorder, the doctor may prescribe a small amount of aspirin to control the condition.

Symptoms and symptoms of preeclampsia
Signs and symptoms of preeclampsia during pregnancy include:

Persistent headache
See dark spots or other changes in vision
Pain on the upper abdomen and shoulders
Nausea and vomiting in the second half of pregnancy
Sudden increase in weight
Sudden swelling on face and hand
Difficulty in breathing
Reduced urine output
Some symptoms, such as nausea, headache, vomiting, can be considered as a common symptom of pregnancy, and make it difficult to diagnose rightly, and if you notice any symptoms of preeclampsia such as severe headache, severe blurred vision, severe abdominal pain, and shortness of breath. You should see a gynecologist.
How is preeclampsia diagnosed?
Preeclampsia testing usually involves checking for blood pressure during pregnancy. The blood pressure is 140/90 mm Hg or more in two rounds and at least four hours abnormal. If you have symptoms of preeclampsia, your doctor will give you more detailed tests, such as:

Blood tests to monitor liver function, renal function, and blood platelet levels
Urinalysis to check the amount of protein in the urine
An embryo sonography to determine the growth of the fetus, estimate its weight and the amount of amniotic fluid
Exercise Testing or Stress Testing to Detect Embryonic Heartburn in Response to Mother's Physical Activity
Complications of preeclampsia
Complications of preeclampsia or pregnancy toxicity may include:

Short-term complications
HELLP syndrome (a rare and life-threatening disorder of the liver), eclampsia (a more severe form of preeclampsia including seizure) and abortion (when the placenta is removed from the uterus and causes severe hemorrhage)

Long term effects
Risk of cardiovascular disease, kidney disease, heart attack, stroke, brain damage and high blood pressure postpartum, and a high chance of having a preeclampsia in the next pregnancy.

Preeclampsia may affect the embryo, especially the baby's weight at birth.

Treatment options for preeclampsia
Although early delivery is one of the treatment options for pregnancy, nevertheless there is a risk to the baby, in which case the doctor and the decision maker will choose the best treatment option.

Mild preeclampsia
This problem will be controlled with careful supervision by the doctor before giving birth. The doctor may recommend giving birth at 37 weeks of gestation.

Severe preeclampsia
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References:

  1. https://www.pampers.com/en-us/pregnancy/healthy-pregnancy/article/preeclampsia

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Fatemeh Ghorbani

Fatemeh Ghorbani

فاطمه قربانی هستم، لیسانس ژنتیک، به علوم نوین پزشکی و ایمونولوژی علاقمندم. از شما دوست گرامی بخاطر مطالعه این مقاله و همچنین مجموعه تریتا بخاطر فرصت انتشار مطالبم در راستای کمک به ارتقای دانش کمال تشکر دارم. شاد باشید و سلامت

my name is Fatemeh Ghorbani, I have a B.S in genetics and interested in immunology and medical science. I believe that, even into the smallest acts, should be put our heart, mind and soul. Thank you for reading my article