PREECLAMPSIA IN PREGNANCY AND MIDWIFERY

Kertu Lemberg2010

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.

RESEARCH PROBLEM

Preeclampsia is a difficult pregnancy- timely pathology;

Midwives practice´s differently;Wish to read up on preeclampsia in

Pregnancy and Midwifery.

PREECLAMPSIA ETIOLOGY, PATHOGENESIS AND DIAGNOSTIC CRITERIAPreeclampsia 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.

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.

PREECLAMPSIA IN PREGNANCY AND MIDWIFERYRecular antenatal observation;Weight, BP, measure the symphysis-

fundus distance, urine sample;Preeclamptic symptom assess;A midwife gives recommendation and

teaches the pregnant women.

DISCUSSION

High BP and pathologic changes in pregnant organism can exert to the fetus detrimental influence;

Teaching the patient.

Thank you for your attention!