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Pre-eclampsia is a multi-system disorder specific to pregnancy, characterized by the new onset of high blood pressure and often a significant amount of protein in the urine or by the new onset of high blood pressure along with significant end-organ damage, with or without the proteinuria.
Typically the pain only lasts for a few seconds. During pregnancy, the growing uterus can put stress on the round ligament of the uterus, causing it to stretch and lead to pain. Paracetamol (acetaminophen) is the recommended pain reliever for pregnant women with round ligament pain.
In pregnant women, preeclampsia may occur after 20 weeks of pregnancy, often in women who have no history of high blood pressure. Symptoms of preeclampsia may include severe headache, vision changes and pain under the ribs. [45] However, in some women, symptoms may not occur, until they go for a routine prenatal visit. [46]
[2] [17] In over half these women, their headaches are strictly related to their menstrual cycle. [7] A clinical epidemiological study suggests that 60% of women with migraine without aura have attacks almost only while menstruating. One in ten had their migraines begin with their first period. Two-thirds do not get migraines while pregnant. [18]
During pregnancy, new-onset photopsia is a concern for severe preeclampsia. Photopsia can present as retinal detachment when examined by an optometrist or ophthalmologist. However, it can also be a sign of uveal melanoma. This condition is extremely rare (affecting 5–7 per 1 million people, typically fair-skinned, blue-eyed northern Europeans).
It usually begins during the last three months of pregnancy or shortly after childbirth. [1] Symptoms may include feeling tired, retaining fluid, headache, nausea, upper right abdominal pain, blurry vision, nosebleeds, and seizures. [1] Complications may include disseminated intravascular coagulation, placental abruption, and kidney failure. [1]
The diagnostic criterion for pre-eclampsia is high blood pressure, occurring after 20 weeks gestation or during the second half of pregnancy. [1] Most often it occurs during the 3rd trimester of pregnancy and may occur before, during, or after delivery. [1] The seizures are of the tonic–clonic type and typically last about a minute. [1]
Alcohol: Use during pregnancy can cause fetal alcohol syndrome and fetal alcohol spectrum disorder. [67] Tobacco use: During pregnancy, causes twice the risk of premature rupture of membranes, placental abruption and placenta previa. [68] Also, it increases the odds of the baby being born prematurely by 30%. [69]
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