Preeclampsia P R E E C L A M P S I A Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, most often the liver and kidneys. A pregnancy condition marked by elevated blood pressure and symptoms of organ damage , most commonly the liver and kidneys Preeclampsia develops after 20 weeks of pregnancy in women who previously had normal blood pressure. Symptoms SYMPTOMS OF PREECLAMPSIA. Preeclampsia sometimes develops without any symptoms High blood pressure may develop slowly, or it may have a sudden onset. Other signs and symptoms of preeclampsia may include : Excess protein in your urine ( proteinuria ) or additional signs of kidney problems Severe headaches Changes in vision , including temporary loss of vision, blurred vision or light sensitivity Upper abdominal pain , usually under your ribs on the right side Nausea or vomiting Decreased urine output Decreased levels of platelets in your blood (thrombocytopenía ) Impaired liver function Shortness of breath , caused by in your lungs How to treat Preeclampsia? Delivery remains the ultimate treatment for preeclampsia. Although maternal and fetal risks must be weighed in determining the timing of delivery, clear indications for delivery exist. When possible, vaginal delivery is preferable to avoid the added physiologic stressors of cesarean delivery. If cesarean delivery must be used, regional anesthesia is preferred because it carries less maternal risk. In the presence of coagulopathy, use of regional anesthesia generally is contraindicated. During labor, the management goals are to prevent seizures and control hypertension.4 Magnesium sulfate is the medication of choice for the prevention of eclamptic seizures in women with severe preeclampsia and for the treatment of women with eclamptic seizures. One commonly used regimen is a 6-g loading dose of magnesium sulfate followed by a continuous infusion at a rate of 2 g per hour. Magnesium sulfate has been shown to be superior to phenytoin (Dilantin) and diazepam (Valium) for the treatment of eclamptic seizures. Antihypertensive drug therapy is recommended for pregnant women with systolic blood pressures of 160 to 180 mm Hg or higher24 and diastolic blood pressures of 105 to 110 mm Hg or higher. The treatment goal is to lower systolic pressure to 140 to 155 mm Hg and diastolic pressure to 90 to 105 mm Hg. To avoid hypotension, blood pressure should be lowered gradually. Women with preeclampsia should be counseled about future pregnancies. In nulliparous women with preeclampsia before 30 weeks of gestation, the recurrence rate for the disorder may be as high as 40 percent in future pregnancies.5 Multiparous women have even higher rates of recurrence. Prevention HOW TO PREVENT PREECLAMPSIA Taking a baby aspirin daily has been demonstrated to decrease your risk of developing preeclampsia by approximately 15%. If you have risk factors for preeclampsia, your healthcare provider may recommend starting aspirin in early pregnancy (by 12 weeks gestation). Doctor WHEN TO SEE A DOCTOR? Preeclampsia can be a fatal condition during pregnancy. If you're being treated for this condition, make sure to see your healthcare provider for all of your appointments and blood or urine tests. Contact your obstetrician if you have any concerns or questions about your symptoms. Go to the nearest hospital if you're pregnant and experience the following: Symptoms of a seizure-like twitching or convulsing. Shortness of breath. Sharp pain in your abdomen (specifically the right side). Blurry vision. Severe headache that won't go away. Dark spots in your vision that don't go away.