What is preeclampsia?
Some women develop preeclampsia during the second half of their pregnancy, usually around the 20-week mark. In some cases, preeclampsia begins in the first week after the baby is born. Women with preeclampsia develop high blood pressure and high levels of protein in their urine.
Preeclampsia is rare, but it needs to be monitored so that this condition doesn’t cause damage to the kidneys or liver. Most women who develop preeclampsia deliver healthy babies and don’t have any further complications. In some cases though, complications occur that can put the life of either the mother or baby at risk.
Signs and symptoms of preeclampsia
Usually, women with preeclampsia don’t notice any symptoms or feel sick. If you develop this condition, normally your doctor will catch it during your routine prenatal appointments.
High blood pressure
Experiencing some swelling of the feet and ankles during pregnancy is quite normal. However, women with preeclampsia have swelling in other parts of the body, like the face, hands, and eyes. This is caused by retaining too many fluids, a condition that is known as edema.
Sudden weight gain
Another symptom of preeclampsia that you should pay attention to is a sudden weight gain over the course of a couple of days, or if you’re gaining more than 2 pounds a week.
Shortness of breath
Abdominal pain can be hard to attribute to preeclampsia because other conditions, like heartburn, gallbladder pain, or a stomach virus can feel the same. This abdominal pain may also be confused with the baby kicking.
Causes of preeclampsia
The exact cause of preeclampsia is not yet known. Doctors think that this condition could be linked to a problem with the placenta, the organ that’s responsible for giving food to the baby from the mother.
While there isn’t a known cause, there are known risk factors or groups of people who have higher chances of developing preeclampsia. This condition develops in about 5% of pregnancies. Risk factors for preeclampsia include:
You have a higher risk of developing preeclampsia if you have these conditions prior to pregnancy:
- High blood pressure
- Kidney disease
- Autoimmune disorders, like lupus, multiple sclerosis, or rheumatoid arthritis
- Blood vessel problems
- Thyroid disease
- Polycystic ovarian syndrome (PCOS)
- Sickle cell disease
Some genetic factors also play a role in developing preeclampsia. For example, women who have a history of preeclampsia in their families have a greater chance of developing it themselves. Black women are also at a greater risk of developing preeclampsia during pregnancy.
Age and weight
If you are over 40, your chances of having preeclampsia increase. Your weight may also increase your risk. Women with obesity who have a body mass index (BMI) of 35 or more are more likely to develop preeclampsia.
If it’s your first pregnancy or it’s been ten years or more since your last pregnancy, your risk of preeclampsia increases. This is also true if you’ve had another pregnancy in which you developed preeclampsia.
Diagnosis and tests for preeclampsia
If you have symptoms of preeclampsia, your doctor will give you a physical exam and take your blood pressure. They will also look for signs of swelling and weight gain.
Your doctor will take blood tests and urine samples to look for markers of preeclampsia. One symptom of preeclampsia is protein in the urine, which is called proteinuria. Other reasons for these tests are:
- To check on the baby’s health
- To see how your blood is clotting
- To see if your platelet counts are lower than normal
- To detect high uric acid levels
- To check for high liver enzymes
Treatments for preeclampsia
The only cure for preeclampsia is the delivery of the baby. If you have mild preeclampsia, your doctor will monitor your health and symptoms with frequent prenatal checkups, usually every three weeks.
If you have severe preeclampsia, you may need to be hospitalized so that your doctor can monitor your health. If your symptoms continue to get worse, you may be hospitalized until delivery. In the hospital, doctors will put you on bed rest. You may also receive anti-hypertensive medicine to help lower your blood pressure.
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