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PRE ECLAMPSIA

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provides in depth knowledge of pre-eclampsia, its management and prognosis, also explains how leads to complications if not well managed

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UNIVERSITY/COLLEGE COURSE
PRE-ECLAMPSIA/ECLAMPSIA
Pre-eclampsia is a condition that stats at 20 weeks gestation or after that is
characterized with high blood pressure of 140 and above systolic and 90 and
above diastolic on two occasions at least 2-4 hours, proteinuria.
Eclampsia is defined as new onset of seizures during pregnancy or postpartum,
unrelated to other cerebral pathological conditions in a woman with pre-
eclampsia.


Pre-eclampsia with no Pre-eclampsia with severe eclampsia
severe features features
Blood pressure 140-159 Blood pressure of 160 and Generalized tonic-clonic
systolic above systolic and 110 and seizures after 20 weeks of
And 90-109 diastolic above diastolic pregnancy
Proteinuria Associated with pre-
proteinuria Severe headache eclampsia
Visual disturbances
Epigastric pain
Hyperreflexia
Dizziness and fainting
Vomiting.


RIASK FACTORS
Nulliparity
Previous history of pre-eclampsia
Elevated blood pressure at bookings
Maternal age less than 40
Presence of underlying medical conditions e.g. renal disease, diabetes mellitus,
lupus

Investigations
Full blood count- Hb, HCT, PLT, Fibrinogen.
Urinalysis
Liver function test-ALT, AST, GGT, Albumin, Total protein.
Renal function test- for urea, creatinine
Obstetric ultrasound

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