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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.
HELLP syndrome occurs in about 0.7% of pregnancies and affects about 15% of women with eclampsia or severe pre-eclampsia. [5] [2] Death of the mother is uncommon (< 1%). [1] [3] Outcomes in the babies are generally related to how premature they are at birth. [1] The syndrome was first named in 1982 by American gynaecologist Louis Weinstein. [2]
Eclampsia is the onset of seizures (convulsions) in a woman with pre-eclampsia. [1] Pre-eclampsia is a hypertensive disorder of pregnancy that presents with three main features: new onset of high blood pressure, large amounts of protein in the urine or other organ dysfunction, and edema.
This diagnosis can be made even if the patient does not have proteinuria. Women with preeclampsia with severe features are encouraged to deliver the child after 34 weeks of gestation to minimize the risks of the severe complications. [13] Preeclampsia can also present with seizures in the pregnant mother. [14]
Potential severe hypertensive states of pregnancy are mainly: Pre-eclampsia – gestational hypertension, proteinuria (>300 mg), and edema. Severe pre-eclampsia involves a BP over 160/110 (with additional signs). It affects 5–8% of pregnancies. [20] Eclampsia – seizures in a pre-eclamptic patient, affect around 1.4% of pregnancies. [21]
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Pregnant woman has severe pregnancy-induced hypertension, [49] severe eclampsia [49] /preeclampsia, [41] active vaginal bleeding, [49] placental abruption, a cardiac disease, [49] or another condition which indicates that the pregnancy should not continue. [49] Maternal hemodynamic instability with bleeding [41]
Week 14 is in the books and we have officially entered the fantasy postseason season on the pod. Matt Harmon and Dalton Del Don say goodbye to the 'People's Panic Meter' and say hello to the ...