PREECLAMPSIA IN
PREGNANCY AND
MIDWIFERY
Kertu Lemberg
2010
INTRODUCTION
Preeclampsia
is a frequent pathology;
In Estonia preeclampsia occurs 5-8%;
Preeclampsia is specific to the
pregnancy, when during the second
half of the pregnancy appears first
time high blood pressure or
proteinuria.
RESEARCH PROBLEM
Preeclampsia
is a difficult pregnancytimely pathology;
Midwives practice´s differently;
Wish to read up on preeclampsia in
Pregnancy and Midwifery.
PREECLAMPSIA ETIOLOGY,
PATHOGENESIS AND
DIAGNOSTIC CRITERIA
 Preeclampsia
has been explained as
syndroma;
 Vasospasm in every organ;
 Changes in clotting system;
 Systolic BP ≥ 140 mmHg or elevation ≥
30 mmHg comparing to the nonpregnancy;
 Diastolic BP ≥ 90 mmHg or elevation ≥
15 mmHg.
PREECLAMPSIA EFFECT TO THE
WOMEN AND THE FETUS
Mother:
changes in central nervous
systema, cerebral haemorragia, retina
damage, lung oedema, kidney
damage, liver rupture,
trombotsytopenia, DIC;
Fetus: growth retardation, delivery
distress, preterm delivery, delivery
timely hypoxia and death.
PREECLAMPSIA IN
PREGNANCY AND
MIDWIFERY
Recular
antenatal observation;
Weight, BP, measure the symphysisfundus distance, urine sample;
Preeclamptic symptom assess;
A midwife gives recommendation and
teaches the pregnant women.
DISCUSSION
High
BP and pathologic changes in
pregnant organism can exert to the
fetus detrimental influence;
Teaching the patient.
Thank you for your attention!