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 Pre-eclampsia & Eclampsia  

 

 


What Is Preeclampsia?
Also referred to as toxemia, preeclampsia is a condition that pregnant women can get. It is marked by high blood pressure accompanied with a high level of protein in the urine. Women with preeclampsia will often also have swelling in the feet, legs, and hands. Preeclampsia, when present, usually appears during the second half of pregnancy, generally in the latter part of the second or in the third trimesters, although it can occur earlier.

What Is Eclampsia?
Eclampsia is the final and most severe phase of preeclampsia and occurs when preeclampsia is left untreated. In addition to the previously mentioned signs of preeclampsia, women with eclampsia often have seizures. Eclampsia can cause coma and even death of the mother and baby and can occur before, during, or after childbirth.

What Causes Preeclampsia and Eclampsia?
The exact causes of preeclampsia and eclampsia are not known, although some researchers suspect poor nutrition, high body fat, or insufficient blood flow to the uterus as possible causes.

What Is the Treatment for Preeclampsia and Eclampsia?
The only real cure for preeclampsia and eclampsia is the birth of the baby.

Mild preeclampsia (blood pressure greater than 140/90 that occurs after 20 weeks of gestation in a woman who did not have hypertension before; and/or having a small amount of protein in the urine can be managed with careful hospital or in-home observation along with activity restriction.

If the baby is pre-term, the condition can be managed until your baby can be safely delivered. Your health care provider may prescribe bed rest, hospitalization, or medication to prolong the pregnancy and increase your unborn baby's chances of survival. If your baby is close to term, labor may be induced.

The treatment for more severe preeclampsia (having vision problems, lung problems, abdominal pain, fetal distress, or other signs and symptoms) may require more emergent treatment -- delivery of the baby -- irrespective of the baby's age.

Other treatments include:

  • Magnesium can be injected into the veins to prevent eclampsia-related seizures.
     
  • Hydralazine or another antihypertensive drug to manage severe elevations of blood pressure.
     
  •  Monitoring fluid intake
     

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