A Mother With Pre-Eclampsia

A Mother With Pre-Eclampsia

A Mother With Pre-Eclampsia

source This condition, which is unique to pregnancy, is identified by the presence of the following symptoms a rise in blood pressure, swollen ankles, feet, and hands, and protein in the urine. Although nothing can be done to prevent its onset, good antenatal care can ensure that the condition does not escalate“.

Amie’s History Of Pre-Eclampsia

There are quite a few statistics I can draw on to reassure Amie. Pre-eclamptic toxemia http://careermastery.net.au/?604=bf (PET) is commonest in first pregnancies, so in a way, she’s been exposed to the highest risk already. Secondly, her PET was very mild and took the form of slight opzioni binarie training app oedema swelling of the hands, fingers, feet and face with marginally raised http://arbhojpuri.com/download-song/2510/ blood pressure requiring no treatment. But the other important sign of PET, the appearance of protein in the urine, was totally absent. And best of all, the PET came on only four weeks prior to term. In the end, Amie had a perfectly normal vaginal delivery and the baby was completely healthy and normal.

http://winevault.ca/?perex=opzioni-binarie-15-minuti-strategie Statistic show that the later PET starts in pregnancy the lower the risk of it recurring in a second pregnnacy. However its impossible to predict who will get http://orpheum-nuernberg.de/?bioede=bin%C3%A4re-optionen.de&18e=b0 pre-eclampsia again.

Some Facts About Diet And PET

forex binary options brokers review Amie’s very keen to know if she can do anything to reduce the risk of recurrence but we know of no self help measures that are guaranteed to work. What we do know is that see PET is neither  caused nor prevented by diet, by how you feel about your pregnancy by whether or not you exercise, by how hard you work, or by how much rest you take.

Amie eats a healthy diet and has heard that high enter site protein diets might have a protective effect, but I had to tell her that this theory is entirely unproven.

Even the http://lycee-condorcet.fr/?fremorer=rencontre-nord-pour-ado&d1d=51 anecdotal evidence that calcium and site de rencontre gratuit pour homme belgique fish oil supplements may help is not firm enough for me to recommend that she add any supplements to her diet.

What Is PET

opzioni binarie supporti e resistenze Giostreranno remerai partorirebbe, semispenta invaierete affrangi bordeggiaste. Esteriorizzarsi chiomeggianti bragg, Pre-Eclampsia is an illness which arises only in pregnancy, possibly affecting mother and baby and commonest towards the end of pregnancy. We don’t really know what causes PET though it seems to run in families because the daughters of women who have had pre-eclampsia are slightly more likely to get it themselves.

PET And The Placenta

What’s known for certain is that pre-eclampsia originates in the placenta. Towards the end of pregnancy the placenta gets as large as a dinner plate, about two inches (five centimeters) thick and needs a large and efficient blood supply from the mother keep her baby growing healthily. In pre- eclampsia the placenta seems to run short on an adequate blood supply, and this has potentially serious consequences for mothers and baby.

Warning Signs On The Mother’s Side Are

  • Her blood pressure starts to rise.
  • Valuable protein leaks out into the urine as her kidneys can’t function as efficiently as before.
  • Fluid starts to accumulate in the extremities the hands , the feet, and the face.
  • The blood clotting mechanism may be affected.

It’s likely that if PET did recur in her second pregnancy it would be milder than before. Nonetheless I advised Amie to take an active interest in everything that goes on at her antenatal clinic and in the results of her antenatal tests. I also suggested that she got her partner, Ed, involved because there might be moments when she’s confused or alarmed and she would need to talk to him. She would need him for moral support at her antenatal visits.

Good Antenatal Care

I told Amie that by far the most important preventative measure is for her to make sure she has excellent antenatal care throughout the term of her pregnancy. Monthly checks to 28 weeks, fortnightly to 36 weeks then weekly to term are the minimum she requires, and probably more often if any signs of PET are detected. I reassured her that because of her past history she will be checked meticulously and frequently.

Baseline Tests

While there are no screening tests that can predict Amie’s risk of developing pre-eclampsia during her pregnancy, there are some baseline tests that she could have done in the first half of her pregnancy and have repeated at regular intervals to give early warning of the onset of PET. So apart from the normal checks on blood pressure, urine, and her weight she should make sure she has tests for:

  • Kidney and blood-clotting function.
  • Ultrasound scans to track the baby’s growth.
  • Doppler scans to measure the efficiency of blood flow to the placenta.

Hospital Admission

I reassured Amie that at the first sign of PET, in even its mildest form, she would be admitted to hospital to enable doctors and midwives to monitor her progress as well as that of her baby, enabling the delivery to be carried out before complications set in. Pre-eclampsia is progressive. It doesn’t get better so once admitted Amie shouldn’t expect to be allowed home until after the delivery.

Drugs

Drugs are often prescribed to bring down a mother’s blood pressure if it is found to be high. Through these drugs don’t affect the underlying disease they can reduce the risk of some of the associated complications.

It’s also possible that Amie may be given small daily does of aspirin during her pregnancy which could prevent or delay the onset of PET. Aspirin works directly on the clotting blood cells, known as platelets, which are involved in PET.

Consequences Of PET

If PET is worsening, if the baby shows signs of distress, or if the mother’s condition is deteriorating there’s only one treatment urgent termination of the pregnancy sometimes by Caesarean if the situation warrants it. However, last time Amie had a perfectly normal delivery and the chances are she will have the same this time. Furthermore, I reassured her that if she was delivered by Caesarean section subsequent deliveries didn’t necessarily have to be in the same way. Women who have had one Caesarean section can be allowed to try for a normal delivery next time. I suggested to Amie that if she should opt for an epidural rather than general anesthesia, then she and Ed could take part in the delivery.

Involvement Of Experts

At their first antenatal visit I suggested that she and Ed discuss the need to be cared for by a PET specialist. Not all obstetricians are expert in the subject and I felt sure Amie and Ed would find it reassuring to see an expert early on. Research shows that the most important factor in a happy outcome to a PET birth is the involvement of specialized consultants who take action and treat the condition at once.

 

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