Pre-eclampsia natural history, complications and prognosis: Difference between revisions
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==Natural History, Complications and Prognosis== | ==Natural History, Complications and Prognosis== | ||
*Long term complication of [[preeclampsia]] include: | |||
:* [[Chronic hypertension]] | |||
:* [[Diabetes mellitus]] | |||
:* [[Ischemic heart disease]] | |||
:* [[Cerebrovascular disease]] | |||
:* [[Kidney disease]] | |||
:* [[Thromboembolism]] | |||
:* [[Hypothyroidism ]] | |||
:* [[Impaired memory]] | |||
[[Eclampsia]] can occur after the onset of pre-eclampsia. Eclampsia, which is a more serious condition, complicates 1 in 2000 maternities in the United Kingdom and carries a maternal mortality of 1.8 per cent.<ref>{{cite journal |author=Douglas K, Redman C |title=Eclampsia in the United Kingdom |journal=BMJ |volume=309 |issue=6966 |pages=1395-400|year=1994 |pmid=7819845 |url=http://www.bmj.com/cgi/content/full/309/6966/1395}}</ref> | [[Eclampsia]] can occur after the onset of pre-eclampsia. Eclampsia, which is a more serious condition, complicates 1 in 2000 maternities in the United Kingdom and carries a maternal mortality of 1.8 per cent.<ref>{{cite journal |author=Douglas K, Redman C |title=Eclampsia in the United Kingdom |journal=BMJ |volume=309 |issue=6966 |pages=1395-400|year=1994 |pmid=7819845 |url=http://www.bmj.com/cgi/content/full/309/6966/1395}}</ref> | ||
The HELLP syndrome is more common, probably about 1 in 500 maternities, but may be as dangerous as eclampsia itself. These two major maternal crises can present unheralded by prodromal signs of pre-eclampsia. | The HELLP syndrome is more common, probably about 1 in 500 maternities, but may be as dangerous as eclampsia itself. These two major maternal crises can present unheralded by prodromal signs of pre-eclampsia. |
Revision as of 19:37, 12 October 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2]
Natural History, Complications and Prognosis
- Long term complication of preeclampsia include:
Eclampsia can occur after the onset of pre-eclampsia. Eclampsia, which is a more serious condition, complicates 1 in 2000 maternities in the United Kingdom and carries a maternal mortality of 1.8 per cent.[1] The HELLP syndrome is more common, probably about 1 in 500 maternities, but may be as dangerous as eclampsia itself. These two major maternal crises can present unheralded by prodromal signs of pre-eclampsia.
Cerebral hemorrhage is a lesion that can kill women with pre-eclampsia or eclampsia. In that cerebral hemorrhage is a known complication of severe hypertension in other contexts, it must be assumed that this is a major predisposing factor in this situation, although this has not been proved. Adult respiratory distress syndrome appears to have become more common, it is not known whether this is a consequence of modern methods of respiratory support rather than of the disease itself.
- Common complications of preeclampsia include:
- Head-aches
- Visual impairments
- Intrauterin growth retardation (IUGR)
- Uteroplacental insufficiency
- Fetal asphyxia or fetal death
- Maternal seizures
- Maternal death
References
- ↑ Douglas K, Redman C (1994). "Eclampsia in the United Kingdom". BMJ. 309 (6966): 1395–400. PMID 7819845.