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preeclampsia…

 

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preeclampsia, toxemia, pregnancy-induced hypertension, preeclampsia, development of elevated blood pressure and protein, in the urine, 20th week of pregnancy, swelling of the face, hands, exact cause of preeclampsia is not known, many unproved theories of potential causes, exist, genetic, dietary, vascular, blood vessel, autoimmune factors, preeclampsia occurs in approximately 8% of all pregnancies, increased risk is associated, first pregnancies, advanced maternal age, african-american heritage, multiple pregnancies, a past history of diabetes, high blood pressure, kidney disease, edema, swelling, the hands, face present upon arising, weight gain, in excess of 2 pounds per week, sudden onset, over 1 to 2 days, headaches, swelling, the feet, ankles, considered normal, pregnancy, additional symptoms that associated, decreased urine output, nausea, vomiting, facial swelling, high blood pressure, agitation, vision changes, flashing lights, in the eyes, abdominal pain, documented weight gain, swelling, in the upper body, elevated blood pressure, proteinuria, protein noted in urine, thrombocytopenia, platelet count less than 100,000, elevated liver function tests, preeclampsia, the results of some laboratory tests, currently, the only way to cure preeclampsia, deliver the baby, delivery would be very premature, disease managed by bed rest, close monitoring, delivery, the fetus has a good chance of surviving outside the womb, patients, hospitalized, occasionally they managed on an outpatient basis, careful monitoring of blood pressure, urine checks, protein, weight, optimally, attempts, made to manage the condition, a delivery after 36 weeks of pregnancy, achieved, labor induced, any, diastolic blood pressure greater than 100 mmhg consistently, 24 hour period, confirmed reading over 110 mmhg, persistent, severe headache, abdominal pain, abnormal liver function tests, rising serum creatinine, hellp syndrome, pulmonary edema, fluid in lungs, eclampsia, thrombocytopenia, low platelet count, non-reassuring fetal monitoring tracings, failure of fetal growth noted by ultrasound, abnormal biophysical profile, a test to monitor the health, the fetus, in cases of severe preeclampsia, the pregnancy is between 32, 34 weeks, delivery, treatment of choice, pregnancies less than 24 weeks, induction of labor, the likelihood that the fetus, survive is very small, prolonging pregnancies has been shown to result in maternal complications, infant death in approximately 87% of cases, pregnancies between 24, 34 weeks gestation present a "gray zone", medical team, parents, decide, to attempt to delay delivery, allow the fetus to mature, mother is treated, steroid injections which help speed the maturity of some fetal organs, the lungs, mother, baby, closely monitored, complications, induction of labor, delivery, medications, prevent seizures, to keep blood pressure under good control, decision, vaginal delivery versus cesarean section, how well the fetus is able to tolerate labor, maternal deaths, preeclampsia, rare, fetal, perinatal deaths, generally decrease, the fetus matures, risk of recurrent preeclampsia in subsequent pregnancies is approximately 33%, preeclampsia, does not appear to lead to chronic high blood pressure, preeclampsia, develop into eclampsia, occurrence of seizures, fetal complications, prematurity at time of delivery, symptoms occur, pregnancy, currently no known prevention methods, all pregnant women, obtain early, ongoing prenatal care, allows, the early recognition, treatment of conditions preeclampsia.



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