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Postpartum Preeclampsia

Postpartum Preeclampsia

By: | Tags: , , , | Comments: 0 | April 1st, 2019

Postpartum Preeclampsia (postpartum meaning following the birth of a child & preeclampsia meaning some medical complication about blood pressure, swelling of hands & feet, the presence of protein in urine in pregnant female subjects). It begins to manifest itself in a subject after 48 Hrs to as late as six weeks after childbirth & if left untreated can cause seizures & other serious complications.

Symptoms

Postpartum preeclampsia is asymptomatic because of pregnant females complete focus on recovering after childbirth & caring for the newborn.

Signs of postpartum preeclampsia observed in subjects are: –

  • When there is excess protein in the urine (i.e.proteinuria).
  • High blood pressure typically on a scale of 140/90 millimeters of mercury or greater.
  • A sudden decrease in the frequency of urination.
  • Pain in the right side of the ribs usually in the upper abdominal region.
  • Severe headache
  • A sudden change in vision including blurred vision & temporary loss of vision
  • Rapid weight gain
Risk Factors
  • Exponential risk of postpartum preeclampsia in the pregnant female subject if she develops high blood pressure after 20 weeks of pregnancy
  • Sudden weight gain due to hormonal changes during pregnancy resulting in obesity making pregnant female subjects more susceptible to postpartum preeclampsia
  • Female subjects diagnosed with diabetes either type 1 or type 2 are vulnerable to developing postpartum preeclampsia
Family history
  • Female subjects giving birth during their teenage phase
  • Female subjects older than 40 years
  • Giving birth to twins, triplets &, etc
Complications

Pulmonary edema: the build-up of excess fluid in the lungs.

Stroke: Interruption in blood supply to the brain depriving both oxygen & nutrition to the brain.

Thromboembolism: is referred to as blockage of the blood vessel due to the formation of the blood clot that may develop somewhere else in the body but travels to another part.

HELLP syndrome: HELLP stands for hemolysis, i.e., elevated liver enzyme & low platelet count as well as the destruction of red blood cells.

Postpartum eclampsia is the addition of a medical complication, i.e., seizures to the already pre-existing postpartum preeclampsia that can result in the damage of vital organs including kidney, brain, eyes & liver.

Prevention

Doctors may prescribe Aspirin (81 milligrams) to counteract preeclampsia during the next pregnancy. Incorporating a healthy lifestyle and consumption of a healthy diet. Don’t hesitate to contact medical services regarding any concerns or questions at the time of recovery from childbirth.

Diagnosis
  • Urinalysis to check for excretion of excess protein
  • Brain scans like magnetic resonance imaging (MRI) & computerized axial tomography (CT) to identify the physical cause of scar on the brain
  • Complete blood count (CBC) test & liver functioning test (LFT) to ascertain platelet count & to check the functioning of the liver
  • Blood pressure check
Treatment
  • After the healthcare provider has ascertained that a pregnant female subject is suffering from postpartum preeclampsia the following treatment may be prescribed.
  • Blood pressure medication prescribed for lowering elevated blood pressure.
  • Anti-seizure medication such as magnesium sulphate to prevent seizures.
  • Anti-coagulant medicine like warfarin can reduce the formation of clots.

Conclusion

Medical attention should be provided to women suffering from the condition as Women are that one entity god conjured to create life on earth and to bear the brunt of pain that follows childbirth, so organisations like UNO & WHO should provide these services all around the globe regardless of caste, creed, nation, colour, religion & etc. Treat women with respect & equality.

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