198x Filetype PPT File size 0.77 MB Source: uomustansiriyah.edu.iq
:-Objective :-Objective A unique disease (syndrome) of pregnant A unique disease (syndrome) of pregnant woman in the second half of pregnancy. woman in the second half of pregnancy. Carries significant maternal & fetal morbidity Carries significant maternal & fetal morbidity and mortality. and mortality. Two criteria for diagnosing preeclampsia Two criteria for diagnosing preeclampsia hypertension & proteinuria, in eclampsia hypertension & proteinuria, in eclampsia tonic and clonic convulsions. tonic and clonic convulsions. The definite cure of preeclampsia & The definite cure of preeclampsia & eclampsia is delivery. eclampsia is delivery. :-Defenition of preeclampsia :-Defenition of preeclampsia The presence of hypertension of at least The presence of hypertension of at least 140/90 mm Hg recorded on two separate 140/90 mm Hg recorded on two separate occasions at least 4 hours apart and in the occasions at least 4 hours apart and in the presence of at least 300 mg protein in a presence of at least 300 mg protein in a 24 hours collection of urine arrising de novo 24 hours collection of urine arrising de novo th th after the 20 week gestation in a previously after the 20 week gestation in a previously normotensive women and resolving normotensive women and resolving completetly by the sixth postpartum week. completetly by the sixth postpartum week. Classification of Classification of hypertensive hypertensive disorders of pregnancy disorders of pregnancy Preeclampsia / eclampsia Preeclampsia / eclampsia Chronic hypertension Chronic hypertension Chronic hypertension with Chronic hypertension with superimposed superimposed preeclampsia preeclampsia Pregnancy induced hypertension Pregnancy induced hypertension Incidence Incidence 3% of pregnancies. 3% of pregnancies. Epidemiology Epidemiology More common in primigravid More common in primigravid There is 3-4 fold increase in first degree There is 3-4 fold increase in first degree relatives of affected women. relatives of affected women.
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