3. PRE-ECLAMPSIA :
Definition :
a disorder associated with pregnancy consisting of
hypertension, proteinuria and new-onset dependent
oedema, most commonly after 20 weeks of
gestation”
14. Hypertension :
systol > 140mmHg
or 30mm above pre-preg
diastolic > 90 mmHg
or 15mm above pre-preg
Two abnormal measurements, on two occasions, more
than 6 hours apart
15.
16. Proteinuria :
Is defined as 300 mg/day
Sever form of PE is hemolysis = elevated in liver
enzyme and low platelet syndrome =
( HELLP ) .
18. COMPLICATIONS/PROGNOSIS
Permanent neuro damage
Renal insufficiency
Abruption
Death
25% of eclamptics will be so in future
pregnancies
Increased risk of essential hypertension
19. MORTALITY/MORBIDITY
Maternal: 8-36% most frequently related to
seizure activity
Foetal: 13-30% most frequently related to
iatrogenic prematurity
23. SIGNS :
Hypertension
Tachycardia and tachypnoea
Creps or wheeze on auscultation
Neurological deficit
Hyperreflexia
Petechiae, intracranial haemorrhage
Generalised oedema
Small uterus for dates
24. RISK FACTORS :
Low socioeconomic class
Multiple foetuses, or hydatid
Maternal age <20 or >35yrs
Gestational or pre-gestational DM
Renal disease
Family history- four times the risk
Inadequate diet (vit C/E, Ca ,zink ,n-3 FA)
Homocysteine
Obesity and over wt
26. RISK FACTOR TO DEVELOPE OF
PREECLAMPSIA WITH INSULIN RESISTANCE:
Pre- pregnancy Pregnancy
Elevated serum insulin ,FFA ,TG Genetic predisposition to HTN
Disrupted platelet function Hormonal and metabolic changed
Renal disease
Nutritional status
27. OUTCOME OF EXISTENCE OF PE:
Mother Newborn
Early delivery by cesarean
section
Growth restriction
Acute renal dysfunction Respiratory distress dysfunction
Increased risk of GD,HTN,DM
T 2
Rupture of placenta
32. NUTRITION INTERVENTION:
1000 mg calcium daily = normal blood vessel
600 mcg folate include 400 mcg folic acid
Vit C & E (200mg,400 Iu) respectivly
5 or more serving veg & fruit
Consumption of low glycemic index
No restriction of sodium intake
Moderate exersise
33. U-TUBE VIDEO ABOUT
PREECLAMPSIA:
http://www.youtube.com/watch?v=wsS8rxA31jw
http://www.youtube.com/watch?v=xzw1jhOP5b0
http://www.youtube.com/watch?v=Ft-_0Bj9NNs