Preeclampsia And Eclampsia

What are preeclampsia and eclampsia?

Preeclampsia and eclampsia are conditions that can develop during week 20 or later of your pregnancy. Preeclampsia means you have high blood pressure and protein in your urine. Preeclampsia progresses to eclampsia if you have a seizure. These conditions can create mild to life-threatening health problems for you and your unborn baby.

What are the signs and symptoms of preeclampsia and eclampsia?

  • Swollen face and hands

  • Weight gain of 2 or more pounds each week

  • Headache

  • Spotted or blurred vision

  • Pain in the upper abdomen

What increases my risk for preeclampsia and eclampsia?

  • First pregnancy

  • Pregnant with twins or multiples

  • Personal or family history of preeclampsia or eclampsia

  • Overweight

  • Diabetes or kidney disease

  • Age older than 40 years

How are preeclampsia and eclampsia diagnosed?

  • A blood pressure of 140/90 mmHg or more for at least 2 readings may mean you have preeclampsia. Your blood pressure will need to be checked 1 to 2 times a week until your baby is born.

  • Blood tests are done to check your liver and kidney function. You may need blood tests every week while you are pregnant.

  • Urine tests are used to check for protein. You may need to give healthcare providers a urine sample at each visit. You may also need to collect your urine every time you urinate for 24 hours.

How will my unborn baby be monitored?

You may need to keep track of how often your baby moves or kicks over a certain amount of time. Ask your healthcare provider how to do kick counts and how often to do them. You may also need the following tests at each visit until your baby is born:

  • A fetal biophysical profile is a test that combines a nonstress test and an ultrasound of your unborn baby. The nonstress test measures changes in your baby's heartbeat when the baby moves. The ultrasound will show your baby's movement, growth, and how his breathing muscles are working. Healthcare providers can check the amount of fluid around your baby. The ultrasound will also show how well your baby's lungs are working.

  • An umbilical cord Doppler test checks blood flow through the umbilical cord.

How are preeclampsia and eclampsia treated?

  • Medicines may be given to lower your blood pressure, protect your organs, or prevent seizures. Low doses of aspirin after 12 weeks of pregnancy may be recommended if you are at high risk for preeclampsia. Aspirin may help prevent preeclampsia or problems that can happen from preeclampsia. Do not take aspirin unless directed by your healthcare provider.

  • Rest as directed. Your healthcare provider may tell you to rest more often if you have mild symptoms of preeclampsia. Lie on your left side as often as you can. You may need complete bedrest if you have more severe symptoms. You may need to be in the hospital if your condition worsens.

  • Delivery usually stops preeclampsia and eclampsia. Healthcare providers may deliver your baby right away if he is full-term (37 weeks or more). You may need to deliver your baby early if you or the baby has life-threatening symptoms.

Call 911 for any of the following:

  • You have a seizure.

  • You have severe abdominal pain with nausea and vomiting.

When should I seek immediate care?

  • You develop a severe headache that does not go away.

  • You are bleeding from your vagina.

  • You have new or increased swelling in your face or hands.

  • You are urinating little or not at all.

When should I contact my healthcare provider?

  • You are urinating less than usual.

  • You have new or increased vision changes, such as blurred or spotted vision.

  • You do not feel your baby's movements as often as usual.

  • You have questions or concerns about your condition or care.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

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