Pre-eclampsia history and symptoms: Difference between revisions
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* [[Preeclampsia]] can deteriorate rapidly without any specific symptoms. | * [[Preeclampsia]] can deteriorate rapidly without any specific symptoms. | ||
* | *[[Preeclampsia]] may present the first time intrapartum or early postpartum. | ||
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Revision as of 07:34, 7 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]
Diagnosis
History and Symptoms
- According to the new guideline, every hypertensive pregnant woman after 20 weeks, should be evaluated for preeclampsia by investigation about multiple organ involvement, even in the absence of proteinuria. [1]
- Preeclampsia can deteriorate rapidly without any specific symptoms.
- Preeclampsia may present the first time intrapartum or early postpartum.
[Preeclampsia
Pre-eclampsia is usually asymptomatic, hence its detection depends on signs or investigations. Nonetheless, one symptom is crucially important because it is so often misinterpreted. The epigastric pain, which reflects hepatic involvement and is typical of the HELLP syndrome, may easily be confused with heartburn, a very common problem of pregnancy. However, it is not burning in quality, does not spread upwards towards the throat, is associated with hepatic tenderness, may radiate through to the back, and is not relieved by giving antacids. It is often very severe, described by sufferers as the worst pain that they have ever experienced. Affected women are not uncommonly referred to general surgeons as suffering from an acute abdomen, for example acute cholecystitis.
In general, none of the signs of pre-eclampsia is specific; even convulsions in pregnancy are more likely to have causes other than eclampsia in modern practice. Diagnosis, therefore, depends on finding a coincidence of several pre-eclamptic features, the final proof being their regression after delivery.
References
- ↑ Brown, Mark A.; Magee, Laura A.; Kenny, Louise C.; Karumanchi, S. Ananth; McCarthy, Fergus P.; Saito, Shigeru; Hall, David R.; Warren, Charlotte E.; Adoyi, Gloria; Ishaku, Salisu (2018). "Hypertensive Disorders of Pregnancy". Hypertension. 72 (1): 24–43. doi:10.1161/HYPERTENSIONAHA.117.10803. ISSN 0194-911X.