202x Filetype PPT File size 1.51 MB Source: ksumsc.com
Objectives . Definition of preeclampsia . Etiology . Effect of hypertensive disorder in pregnancy . The theory of development of preeclampsia . Pathological changes associated with preeclampsia . Definition of Eclampsia . Management of preeclampsia and Eclampsia Role of antihypertensive . the hypertensive disorder are major contributor to maternal and perinatal morbidity and mortality. CLASSIFICATION AND DIFINTION. Blood pressure reading depends on maternal position and gestational age, it is lower in left lateral position and higher in sitting position, arterial B/P normally decline st nd in 1 ,and 2 trimester and rise to pre pregnant level in the 3rd trimester. Cont. The diagnosis of hypertension is made when the systolic B/P is equal or greater than 140mmHg or diastolic of greater or equal 90mmHg. 1. Preeclampsia/ eclampsia. 2. Chronic hypertension, If the hypertension is known prior to pregnancy or develops prior to 20 weeks gestation and persist 12 weeks postpartum. Cont, Mostly essential hypertension but small percentage will have secondary hypertension due to renal ,vascular, or endocrinological causes. 3-Chronic hypertension with superimposed preeclampsia. It is diagnosed when the patient is known to have hypertension and the process is aggravated by pregnancy and usually carries a worse prognosis , it is suspected by new develop of proteinuria or sudden significant increases in B/P or proteinuria after the 20 weeks of pregnancy.
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