Preeclampsia (or Preeclampsia): Definition and Causes

Lauren Sebag, obstetrician-gynecologist, hospital assistant at Bishat Hospital

Pre-eclampsia is a condition that affects approximately 3-4% of pregnancies. In 10% of cases, it can lead to serious complications in the short term. life threatening of a mother and her future baby.

Not detected from early pregnancyWhencaused by vascular malformations placenta. Pre-eclampsia is a disease that can present and is associated with the end of the second trimester of pregnancy (from 20 weeks of amenorrhea). high blood pressure (blood pressure above 14/9) proteinuria (protein in the urine 0.3g/24h)” Lauren Sebag explains.

Certain signs warn health professionals in charge of pregnancy for future mothers : “Detected during monthly appointments. gynecologist for high blood pressure or protein dipstick “.

Future mothers affected by this disease may present with a number of clinical manifestations. ” headache (headache), visual impairment, tinnitus (tinnitus), flashes (flying in front of eyes), epigastric bars (pain in upper abdomen).

Once the birth has passed and, more precisely, the expulsion of the placenta has been completed, pre-eclampsia stops and the symptoms disappear after a few days.

Causes: What causes preeclampsia (toxemia of pregnancy) in pregnancy?

Dr. Lauren Sebag explains that you can’t get the disease. immune disease. The main risk factors are: high blood pressure Chronic, primiparous (first child), short-term exposure to paternal antigens (like contextsperm donation) or a family or personal history of pre-eclampsia”Therefore, there is a genetic basis, and mothers may contract pre-eclampsia when giving birth to daughters with pre-eclampsia.

What are the risks of pre-eclampsia?

The main risk is eclampsia, which causes seizures. high blood pressure within the maternal cranium.

How does eclampsia manifest?

In addition to these seizures, which can lead to many complications for the mother. ” It can also cause retroplacental hematoma (premature abruption of the placenta), subcapsular hematoma of the liver, coagulopathy and renal failure. says the doctor.

there will be again fetal complications. Intrauterine growth restriction (IUGR), induction of prematurity (e.g., during emergency preterm birth by caesarean section for maternal rescue), or, in the worst case, intrauterine fetal death (mfiu)»

regular monitoring And adaptation saves pregnant women and future babies. ” Monitoring is important if preeclampsia occurs. maternity Levels adjusted for gestational age. For severe pre-eclampsia, you should go to a facility that offers maternal resuscitation services. ” advise the practitioner.

some pregnant women hospitalized during the end of their pregnancy. It all depends on the severity of the disease. A woman’s pregnancy doctor must check certain criteria to make sure she doesn’t have severe pre-eclampsia. like that :

  • blood pressure (Systolic blood pressure 160 mmHg or more, diastolic blood pressure 110 mmHg or more)
  • proteinuria (not to exceed 3 g per 24 hours) or decreased urine output
  • blood increase enzyme moss reflect liver problems;
  • platelet (cells involved in blood clotting) should not be reduced;
  • stomach ache Persistent or intense “bar”;
  • chest pain, shortness of breath, acute pulmonary edema (accumulation of fluid in the tissues of the lungs);
  • headache Severe (headache) persistent visual (flashing) or hearing (tinnitus) disturbances unresponsive to treatment

If the mother takes care of her, she will recover quickly and give birth to a healthy baby.

The mother’s doctor or midwife should give her the appropriate treatment. ” Antihypertensive therapy should be initiated to balance blood pressure and to regularly monitor the mother (blood pressure, proteinuria, blood tests) and the baby (ultrasound, fetal heart rate). says Dr. Lauren Sebag.

You can also manage magnesium sulfate To prevent eclampsia.

Patients with a first pre-eclampsia have a lower risk of a second pre-eclampsia in subsequent pregnancies with the same father due to maternal immunological adaptations. To father’s antigenIf it’s another partner, she runs the same risks as in previous pregnancies.

Postpartum: What are the long-term effects of pre-eclampsia?

Mothers who have pre-eclampsia during pregnancy are at higher risk of developing cardiovascular disease than the general population. Her risk of high blood pressure is four times higher. that of stroke or myocardial infarction Twice as much. In addition, this syndrome doubles the risk of: Diabetes After pregnancy.

However, it is possible to delay the appearance of these diseases.

  • Looking his blood pressure Regularly
  • by checking regularly his blood sugar
  • By adjusting the diet (balanced diet, sometimes desalted if necessary)
  • of avoid alcohol and tobacco

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