{"id":131,"date":"2015-12-08T23:12:52","date_gmt":"2015-12-08T23:12:52","guid":{"rendered":"http:\/\/brooksidepress.org\/ob-ped\/?page_id=131"},"modified":"2023-08-20T22:02:38","modified_gmt":"2023-08-20T22:02:38","slug":"2-08-preeclampsia","status":"publish","type":"page","link":"https:\/\/brooksidepress.org\/ob-ped\/lessons\/lesson-2-normal-and-emergency-childbirth\/section-ii-complications-of-pregnancy\/2-08-preeclampsia\/","title":{"rendered":"2-08. PREECLAMPSIA"},"content":{"rendered":"<p>Preeclampsia is the first stage of a pregnancy condition commonly called\u00a0toxemia.<\/p>\n<p>The earliest signs of toxemia (preeclampsia) must be detected to prevent the\u00a0condition from progressing to full eclampsia which involves convulsions and coma and\u00a0can result in death.<\/p>\n<p><em><strong>Editor&#8217;s Note: While the term &#8220;Toxemia&#8221; was widely used at the time this course was originally written, it has been largely abandoned in favor of the term &#8220;Pre-Eclampsia.&#8221;<\/strong><\/em><\/p>\n<p>a. <strong>Signs and Symptoms<\/strong>. Problems indicating preeclampsia may develop over\u00a0the period of a few days or appear suddenly in a 24-hour period. Included are the\u00a0following:<\/p>\n<p style=\"padding-left: 30px;\">(1) High blood pressure. The patient&#8217;s small blood vessels become constricted, leading to many changes, among them:<\/p>\n<p style=\"padding-left: 60px;\">a. Elevated maternal blood pressure.<\/p>\n<p style=\"padding-left: 60px;\">b. Loss of plasma into the extravascular spaces.<\/p>\n<p style=\"padding-left: 60px;\">c. Decreased perfusion of organs.<\/p>\n<p style=\"padding-left: 60px;\">d. Consumption of platelets, sometimes faster than they can be replaced.<\/p>\n<p style=\"padding-left: 30px;\">(2) Edema, usually of the face, hands, and\/or feet.<\/p>\n<p style=\"padding-left: 30px;\">(3) Headaches.<\/p>\n<p style=\"padding-left: 30px;\">(4) Blurred vision.<\/p>\n<p style=\"padding-left: 30px;\">(5) Abdominal pain.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/112305249\" width=\"500\" height=\"281\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<div id=\"adx_native_ad_110653\"><\/div>\n<p><script type=\"text\/javascript\">(function() {var a=\"\",b=[\"aid=110653\"];for (var c=0;c<b.length;++c){a+=b[c]+\"&#038;\";}a+=\"r=\"+Math.random()*1e16+\"&#038;url=\"+encodeURIComponent(window.location.href);var x=\"https:\/\/content.tapnative.com\/tn\/?\"+a;var y=document.createElement(\"script\");y.type=\"text\/javascript\";y.async=true;y.src=x;var z=document.getElementsByTagName(\"script\")[0];z.parentNode.insertBefore(y, z);})();<\/script><\/p>\n<p>b. <strong>Treatment<\/strong>. If treated early, it is possible to prevent preeclampsia from\u00a0progressing rapidly to full-blown eclampsia with\u00a0seizures before, during, and sometimes\u00a0after delivery.<\/p>\n<p style=\"padding-left: 30px;\">(1) Record a blood pressure and the presence or absence of edema in\u00a0every pregnant woman you examine. Do this regardless of what the patient's chief\u00a0complaint is.<\/p>\n<p style=\"padding-left: 30px;\">(2) Be suspicious of any blood pressure above 130\/80.<\/p>\n<p style=\"padding-left: 30px;\">(3) Give supportive care and direct the patient to an obstetrician.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Preeclampsia is the first stage of a pregnancy condition commonly called\u00a0toxemia. The earliest signs of toxemia (preeclampsia) must be detected to prevent the\u00a0condition from progressing to full eclampsia which involves convulsions and coma and\u00a0can result in death. Editor&#8217;s Note: While the term &#8220;Toxemia&#8221; was widely used at the time this course was originally written, it &hellip; <a href=\"https:\/\/brooksidepress.org\/ob-ped\/lessons\/lesson-2-normal-and-emergency-childbirth\/section-ii-complications-of-pregnancy\/2-08-preeclampsia\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">2-08. PREECLAMPSIA<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":30,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-131","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/131","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/comments?post=131"}],"version-history":[{"count":5,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/131\/revisions"}],"predecessor-version":[{"id":534,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/131\/revisions\/534"}],"up":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/30"}],"wp:attachment":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/media?parent=131"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}