Understanding Pre-eclampsia in Pregnancy

A Comprehensive Guide for Expectant Mothers

Family Medicine

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Last updated: Mar 24, 2025

What is Pre-eclampsia?

Pre-eclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to organ systems, most often the liver and kidneys. It typically occurs after 20 weeks of pregnancy.

Key Signs and Symptoms

  • High blood pressure (140/90 mmHg or higher)
  • Protein in urine (proteinuria)
  • Severe headaches
  • Vision changes or blurred vision
  • Upper abdominal pain
  • Sudden swelling in face and hands
  • Rapid weight gain

Risk Factors

  • First pregnancy
  • Family history of pre-eclampsia
  • Multiple pregnancy (twins, triplets)
  • Age (under 20 or over 35)
  • Obesity
  • Pre-existing conditions:
    • Hypertension
    • Diabetes
    • Kidney disease

Diagnosis and Monitoring

Your healthcare provider will:

  1. Regularly check blood pressure
  2. Test urine for protein
  3. Monitor blood tests
  4. Perform regular ultrasounds

Treatment Options

Conservative Management

  • Regular monitoring
  • Blood pressure medication if needed
  • Bed rest when indicated

Delivery

  • May be necessary if condition becomes severe
  • Timing depends on:
    • Gestational age
    • Severity of condition
    • Mother's and baby's health

Prevention Strategies

  • Regular prenatal care
  • Low-dose aspirin (if recommended)
  • Maintaining healthy weight
  • Regular exercise (as approved)
  • Balanced diet

When to Seek Emergency Care

Contact your healthcare provider immediately if you experience:

  • Severe headaches
  • Vision changes
  • Severe abdominal pain
  • Decreased fetal movement
  • Difficulty breathing

Long-term Outlook

Most women recover fully after delivery, but may have:

  • Increased risk in future pregnancies
  • Need for follow-up care
  • Higher risk of cardiovascular issues later in life

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