Define of Pre eclampsia .Clinical features of it. D-05.08. j-07

DEFINITION: Preeclampsia is a multisystem disorder of unknown etiology characterized by
development of hypertension to the extent of 140/90 mm Hg or more with proteinuria after the 20th
week in a previously normotensive and nonproteinuric woman


Clinical features :

SYMPTOMS: Preeclampsia is principally a syndrome of signs and when symptoms appear, it is
usually late.
Mild symptoms : Slight swelling and face ,abdominal wall
Alarming symptoms:
1.Disturbed  sleep
2.Diminished urinary output 
3.Headache 
4.Epigastic pain 

matsedubd-preeclamsia
preeclampcia 
SIGNS
1. Abnormal weight gain:
2. Rise of blood pressure:
3. Edema:
4. Pulmonary edema.
5. Abdominal examination

Invetigation:
Urine of R/M/E
blood grouping 
CBC

Management of it:
The  treatment is mostly symptomatic
A.Hospital treatment:
1.Rest
2.Diet control
3.Diuretics
4.Antihypertensive

B.Obstetrical management :
--If maternal condition & response the treatment is satisfactory  Then Pregnancy be continued up to term 
----If maternal condition & response the treatment is not satisfactory
* Induction of labour 
* Caesarean section 

                                                                               Ref by Dutta



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