Preeclampsia

Preeclampsia is a condition that causes dangerously high blood pressure. It can be life-threatening if left untreated. Preeclampsia typically happens after 20 weeks of pregnancy, often in women who have no history of high blood pressure.

What are the symptoms? 

Symptoms of preeclampsia may include:

⚡ severe headache

⚡vision changes  

⚡pain under the ribs

 However, many women don’t feel symptoms right away.The first alert is usually when a woman comes in for a routine prenatal visit and has high blood pressure. In those cases, your doctor will test for things like kidney and liver function to determine whether it’s preeclampsia or just high blood pressure. Who is at risk? 

Risk factors for preeclampsia include 

⚡having a history of high blood pressure 

⚡being obese (having a body mass index, or BMI, greater than 30)

⚡ age (teenage mothers and those over 40 are at higher risk)

⚡being pregnant with multiples

Can you prevent it?

While you can’t prevent preeclampsia, staying healthy during pregnancy may help. If you have risk factors, experts recommend that you see your obstetrician either before you become pregnant or very early in your pregnancy 

so you and your doctor can discuss ways that you can reduce your risk. For example, many women at risk for preeclampsia are prescribed a baby aspirin after the first trimester.

Regular prenatal visits are the best way to control preeclampsia. During those routine visits, your doctor will check your blood pressure. If it’s high, further tests can diagnose the condition so you can start getting the treatment you need.

How is it treated? 

The condition only goes away once the baby is born, so delivery is the best way to treat preeclampsia. However, delivering the baby too early can put the baby at risk for health problems. 

The decision about how to treat you will largely depend on how far along the pregnancy is. You may need to be hospitalized so your team can monitor you and your baby closely.

What should I ask my doctor? 

Your doctor will discuss the risks and benefits of delivering the baby early versus continuing the pregnancy and trying to manage the preeclampsia as long as possible through other methods. 

After delivery, the condition will go away, but you will be at greater risk for heart disease later in life. Talk to your doctor about what you can do to help reduce and manage those risks.

Although complications are rare, a number of complications can develop if pre-eclampsia isn't diagnosed and monitored.

These problems can affect both the mother and her baby.

These complications may affect both mother and baby.

Some of the complications that affect mother includes:

❗ Convulsions or fits

❗stroke

❗HELLP syndrome

❗liver failure

❗ pulmonary oedema

❗blood clotting disorder

❗ pulmonary disease.

Problems affecting the baby

Babies of some women with pre-eclampsia may grow more slowly in the womb than normal.

This is because the condition reduces the amount of nutrients and oxygen passed from the mother to her baby.

These babies are often smaller than usual, particularly if the pre-eclampsia occurs before 37 weeks.

If pre-eclampsia is severe, a baby may need to be delivered before they're fully developed.

This can lead to serious complications, such as breathing difficulties caused by the lungs not being fully developed (neonatal respiratory distress syndrome).