Hypertensive Disorders in Pregnancy: Understanding Preeclampsia and Eclampsia, Lecture notes of Obstetrics

Download Hypertensive Disorders in Pregnancy: Understanding Preeclampsia and Eclampsia and more Lecture notes Obstetrics in PDF only on Docsity!

Interesting Case

• A.A

• (^) 23 years old
• (^) Married
• (^) CC:
  • (^) Blurring of vision and epigastric pain mins PTA

General Data

• (^) Menstrual Hx:
  • (^) M – 12 yrs old
  • (^) I – Regular (28 days)
  • (^) D – 3-5 days
  • (^) A – 2-3 pads/day, fully soaked
  • (^) S – (-)

• (^) OB Hx
  • (^) G
  • (^) LMP: 7/4/
  • (^) AOG: 34 5/7 weeks AOG
  • (^) EDD 4/10/

Title

• (^) Internal Exam:
  • Introitus admits 2 fingers with ease
  • Cervix is close
  • Cephalic
  • Intact BOW

Hypertensive Disorders of

Pregnancy

Terminology and Diagnosis

• (^) Gestational Hypertension
• (^) Preeclampsia and Eclampsia syndrome
• (^) Chronic hypertension
• (^) Preeclampsia superimposed on chronic hypertension

1. Gestational Hypetension

• (^) BP > 140/90mmHg after 20 weeks in previously normotensive women
• (^) BP returns to normal <12 weeks postpartum
• (^) No protenuria

4. Chronic Hypertension

• (^) BP > 140/90 mmHg before pregnancy of diagnoses before 20 weeks age of gestation
• (^) Hypertension first diagnosed after 20 weeks gestation and persistent after 12 weeks postpartum

• (^) BP normally decreases during the second and early third trimester in both normotensive and chronic hypertensive women
• (^) During third trimester blood pressure return to their originally hypertensive levels

Investigation

Urinalysis

• Straw
• Hazy
• Acidic
• pH 6.
• Sugar: neg
• Ketone: neg
• Bilirubin: neg
• Blood: neg
• Albumin: neg
• WBC 0-
• RBC 1.-
• Urine Dipstick : 2+ CBC
  • Hgb 123
  • Hct 0.
  • RBC 4.
  • WBC 9.
  • Band 0.
  • Seg 0.
  • Lymp 0.
  • Platelet 98000
  • CT: 12’
  • BT: 1’45’”

Impression

G1 Intrauterine pregnancy 34 5/7 weeks AOG, cephalic, not in labor Preeclampsia with severe features