Preeclampsia can prevent the placenta from receiving enough blood, which can cause your baby to be born very small. It is also one of the leading causes of premature births, and the complications that can follow, including learning disabilities, epilepsy, cerebral palsy, hearing and vision problems.
In moms-to-be, preeclampsia can cause rare but serious complications
Preeclampsia can also cause the placenta to suddenly separate from the uterus, which is called placental abruption. This can cause stillbirth.
#Mild preeclampsia is diagnosed when:
-Pregnancy is greater than 20 weeks
-Blood pressure is greater than 140 systolic or 90 diastolic
-0.3g of protein is collected in a 24-hour urine sample, or persistent 1+ protein measurement on urine dipstick
-There are no other signs of problems with the mother or the baby
#Severe preeclampsia is a more serious problem.
Diagnosis of severe preeclampsia requires the basic features of mild preeclampsia as well as some indication of additional problems with either the mother or the baby. Thus, one of the following findings is also necessary for a diagnosis of severe preeclampsia:
-Signs of central nervous system problems (severe headache, blurry vision, altered mental status)
-Signs of liver problems (nausea and/or vomiting with abdominal pain)
-At least twice the normal measurements of certain liver enzymes on blood test
-Very high blood pressure ( greater than 160 systolic or 110 diastolic)
-Thrombocytopenia (low platelet count)
-Greater than 5g of protein in a 24-hour sample
-Very low urine output (less than 500mL in 24 hours)
-Signs of respiratory problems (pulmonary edema, bluish tint to the skin)
-Severe fetal growth restriction
The distinction between mild and severe preeclampsia is important because the management strategies are very different.
>>If you have mild preeclampsia, your doctor may prescribe:
-Bed rest either at home or in the hospital; you'll be asked to rest mostly on your left side.
-Careful observation with a fetal heart rate monitor and frequent ultrasounds
-Medicines to lower your blood pressure
-Blood and urine tests
-Your doctor also may recommend that you stay in the hospital for closer monitoring. In the hospital you may be given:
-Medicine to help prevent seizures, lower your blood pressure, and prevent other problems
-Steroid injections to help your baby's lungs develop more quickly
>>In severe preeclampsia ,your doctor may need to deliver your baby right away, even if you're not close to term.