PREECLAMPSIA IN PREGNANCY AND MIDWIFERY

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PREECLAMPSIA IN PREGNANCY AND MIDWIFERY

• Kertu Lemberg
• 2010

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INTRODUCTION

• Preeclampsia is a frequent pathology
• In Estonia preeclampsia occurs 5-8
• Preeclampsia is specific to the pregnancy, when
  during the second half of the pregnancy appears
  first time high blood pressure or proteinuria.

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RESEARCH PROBLEM

• Preeclampsia is a difficult pregnancy- timely
  pathology
• Midwives practices differently
• Wish to read up on preeclampsia in Pregnancy and
  Midwifery.

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PREECLAMPSIA ETIOLOGY, PATHOGENESIS AND
DIAGNOSTIC CRITERIA

• Preeclampsia has been explained as syndroma
• Vasospasm in every organ
• Changes in clotting system
• Systolic BP 140 mmHg or elevation 30 mmHg
  comparing to the nonpregnancy
• Diastolic BP 90 mmHg or elevation 15 mmHg.

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Preeclampsia effect to the women and the fetus

• Mother changes in central nervous systema,
  cerebral haemorragia, retina damage, lung oedema,
  kidney damage, liver rupture, trombotsytopenia,
  DIC
• Fetus growth retardation, delivery distress,
  preterm delivery, delivery timely hypoxia and
  death.

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PREECLAMPSIA IN PREGNANCY AND MIDWIFERY

• Recular antenatal observation
• Weight, BP, measure the symphysis- fundus
  distance, urine sample
• Preeclamptic symptom assess
• A midwife gives recommendation and teaches the
  pregnant women.

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DISCUSSION

• High BP and pathologic changes in pregnant
  organism can exert to the fetus detrimental
  influence
• Teaching the patient.
• Thank you for your attention!