salah_abdellatief

أ.د صلاح رشدى أحمد عبد اللطيف

استاذ - أستاذ التوليد وأمراض النساء بكلية طب سوهاج ووكيل الكلية لشئون التعليم والطلاب

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العنوان: قسم التوليد وأمراض النساء. كلية طب سوهاج - ش جامعة سوهاج.مدينة ناصر .محافظة سوهاج.ص .ب 82524

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إعجاب

Hypertension in Pregnancy

2018-10-14 23:20:09 |

Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, most often the liver and kidneys. Preeclampsia usually begins after 20 weeks of pregnancy in women whose blood pressure had been normal.

Left untreated, preeclampsia can lead to serious — even fatal — complications for both you and your baby. If you have preeclampsia, the most effective treatment is delivery of your baby. Even after delivering the baby, it can still take a while for you to get better.

If you're diagnosed with preeclampsia too early in your pregnancy to deliver your baby, you and your doctor face a challenging task. Your baby needs more time to mature, but you need to avoid putting yourself or your baby at risk of serious complications.

Rarely, preeclampsia develops after delivery of a baby, a condition known as postpartum preeclampsia.

Symptoms

Preeclampsia sometimes develops without any symptoms. High blood pressure may develop slowly, or it may have a sudden onset. Monitoring your blood pressure is an important part of prenatal care because the first sign of preeclampsia is commonly a rise in blood pressure. Blood pressure that exceeds 140/90 millimeters of mercury (mm Hg) or greater — documented on two occasions, at least four hours apart — is abnormal.

Other signs and symptoms of preeclampsia may include:

  • Excess protein in your urine (proteinuria) or additional signs of kidney problems
  • Severe headaches
  • Changes in vision, including temporary loss of vision, blurred vision or light sensitivity
  • Upper abdominal pain, usually under your ribs on the right side
  • Nausea or vomiting
  • Decreased urine output
  • Decreased levels of platelets in your blood (thrombocytopenia)
  • Impaired liver function
  • Shortness of breath, caused by fluid in your lungs

Sudden weight gain and swelling (edema) — particularly in your face and hands — may occur with preeclampsia. But these also occur in many normal pregnancies, so they're not considered reliable signs of preeclampsia.

Classifications

Risk factors

Complications

Pathophysiology

Investigations

Treatment


2018-10-31 01:57:28 | Hypertension in Pregnancy
Blood pressure measurement in pregnancy
Key content Accurate blood pressure (BP) measurement is fundamental to early diagnosis of hypertensive disorders in pregnancy. Poor auscultatory technique and lack of training leads to inaccuracies in BP measurement using sphygmomanometry with mercury and aneroid devices. Automated devices limit use... إقراء المزيد

Clinical pharmacokinetic properties of m

2018-10-22 23:08:05 Hypertension in Pregnancy
Background The pharmacokinetic basis of magnesium sulphate (MgSO4) dosing regimens for eclampsia prophylaxis and treatment is not clearly established. Objectives To review available data on clinical pharmacokinetic properties of M إقراء المزيد