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Preeclampsia

AMBULATORY CARE:

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.

Common signs and symptoms include the following:

  • Swollen face and hands
  • Weight gain of 2 or more pounds each week
  • Headache
  • Spotted or blurred vision
  • Pain in the upper abdomen

Call 911 for any of the following:

  • Seizure
  • Severe abdominal pain with nausea and vomiting

Seek care immediately for the following symptoms:

  • You develop a severe headache that does not go away.
  • You have blurred or spotted vision 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.

Contact your healthcare provider if:

  • You are urinating less than usual.
  • You do not feel your baby's movements as often as usual.
  • You have questions or concerns about your condition or care.

Seizure first aid:

You may have seizures with eclampsia. You may feel confused, tense, or aggressive when the seizure ends. Tell your family, friends, or coworkers to do the following if you have a seizure:

  • Clear the area to help prevent injuries from falls
  • Place you on your left side so you do not choke
  • Give oxygen if it is available
  • Call 911
  • Stay with you until medical help arrives

Treatment for preeclampsia and eclampsia

may include any of the following:

  • 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.

Blood pressure (BP) checks:

You may need to check your BP each day. Sit and rest for 5 minutes before you take your BP. Extend your arm and support it on a flat surface. Your arm should be at the same level as your heart. Follow the directions that came with your BP monitor. Take your BP at least 2 times a day. Choose the same times each day, such as morning and evening. Take at least 2 BP readings each time. Keep a record of your BP readings and bring it to your follow-up visits. Ask your healthcare provider what your BP should be.

How to take a Blood Pressure

Kick counts:

You may need to keep track of how often your baby moves or kicks over a certain amount of time. Ask your obstetrician how to do kick counts and how often to do them.

Daily weight:

Weigh yourself every day before breakfast. Weight gain can be a sign of extra fluid in your body. Call your obstetrician if you have gained 2 or more pounds in a week.

Rest:

Your obstetrician may tell you to rest more often if you have mild symptoms of preeclampsia. You may need total bedrest for more severe symptoms. Try to lie on your left side.

Follow up with your obstetrician as directed:

You will need tests 1 to 2 times a week to check your condition. Tests include blood pressure checks, urine and blood tests, and fetal monitoring. Write down your questions so you remember to ask them during your visits.

© 2017 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.

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.

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