M. W Patient Case

And it is caused by great psychological stress. Hypertension affects the mother and child during pregnancy, and the medicine that doctors ask women to take for depression, while pregnant can increase the negative effects of hypertension. The hypertension can cause preeclampsia, which can lead to severe damage to you and your child. Once you have preeclampsia you must deliver your baby right than. Hypertension can also affect the child too, it can affect the newborn's heart, and lungs. Newborns coming outside of the womb actually have to be put on immediate care. The child you were carrying for 9 months will be put on immediate care because of the mediation you took while you were pregnant. While possibly curing the mother's depression, it can lead to other negative effects along the

Regarding the chronic HTN, we did have a discussion with her and how this can affect the pregnancy. We did perform impedance cardiography. Her BP when she arrived was upper-normal at 132/84 but on the impedance cardiography it was normal at 117/78. Her heart rate when she arrived was 99 and for the test was 91. Impedance cardiography demonstrated that her cardiac output was normal at this time for her gestational age at about 5 ½ L/min. In addition, the TPR was normal at about 1300. Therefore, labetalol is a good choice. She states that in the late afternoon early evening she feels that her BP is going up and labetalol is better as a twice a day medication. Therefore, based on the fact that she is on a low-dose and her BP when she arrived was upper-normal we recommended that she take 100 mg b.i.d. In addition, based on the current

(2) Therefore, for medics to effectively manage the eclamptic patient, they should understand key signals and, ideally, the patient’s past medical history. Based on data analysis of patients considered to be “at risk” for developing eclampsia, those with “prior pre-eclampsia, chronic hypertension (HTN), pre-gestational diabetes, assisted reproductive technology, and BMI >30 were most strongly associated with a high rate of pre-eclampsia.” (4) Lastly, women at both extremes of childbearing age (young and old) are more likely to develop pre-eclampsia than other parous women. These are key factors to consider when initially evaluating a patient at greater than 20 weeks gestation with BP of over 140/90. (2)

By managing your weight and following a nutritious diet, exercising regularly, and avoiding potential harmful substances like lead and radiation can decrease the risk of complications during pregnancy and protect the infant’s development (National Institutes of Health, 2014). Pregnant women with existing conditions such as diabetes and high blood pressure are at risk of preeclampsia/eclampsia therefor should take extra precautions monitoring their condition (National Institutes of Health, 2014). According to the article The Global Impact of Preeclampsia and Eclampsia by Leila

A pheochromocytoma in a pregnant patient is one of the most threatening medical conditions for mother, fetus, and physician. Although extraordinarily rare with a frequency of 0.002% of all pregnancies, this tumor is notorious for its devastating consequences. As in non-pregnant patients, the signs and symptoms are quite variable but not specific, with hypertension being one of the most prominent signs. Confusion with the much more prevalent forms of pregnancy-related hypertension is the main cause of overlooking the diagnosis. If undiagnosed, maternal and fetal mortality is around 50%. Conversely, early detection and proper treatment during pregnancy decrease the maternal and fetal mortality to <5 and 15% respectively. For the biochemical diagnosis,

When a woman is pregnant, any risk to herself or her baby is a significant problem. How many women suffer from Preeclampsia? Out of five to ten women. A woman who had a normal blood pressure before pregnancy can develop high blood pressure and excess proteins in her urine after the first twenty weeks of pregnancy. When this occurs a woman is told she has a disease named preeclampsia, which puts her baby and herself at risk. Preeclampsia grows unexpectedly after twenty weeks, with a high increase in blood pressure, excess proteins in her urine, extreme headaches, nausea, dizziness, sudden weight gain as sudden symptoms as sudden signs of sickness.

The patient reports that she has never had issues with headaches prior to two weeks ago. She states she may have a headache after a stressful day; however, denies premenstrual headaches or frequent headaches. The patient reports the headaches started two weeks ago, occurring 3-5 times per week. The headaches are on the left side in the temporal area, throbbing, and severe, a 7 on a scale on 1-10, with no radiation reported. The patient reports some nausea with the headache and at times seeing “spots in front of her eyes” right before the onset of the headache. The headaches last for several hours and are relieved if she is able to get some sleep. She has tried Ibuprofen with no relief. She reports she retreats to a dark and quiet corner when the headaches start. The patient reports no trouble with her vision, no epistaxis, no upper respiratory symptoms, or sinus issues. She

Wagner, S. J., Barac, S., & Garovic, V. D. (2007). Hypertensive Pregnancy Disorders: Current Concepts. The Journal of Clinical Hypertension J Clin Hypertension, 9(7),

B: she is 28 week pregnant, with hypertension, headaches, lower swelling of extremities and dizziness.

Preeclampsia, a disorder of pregnant women, is a major contributor of maternal and fetal morbidity and mortality. It afflicts 5-7% of pregnancies worldwide, creating an enormous disease burden. Despite intensive research in this area, the etiology of preeclampsia is elusive. However, multiple factors have been associated with the disorder, including insulin resistance, genetic predisposition, and angiogenic factors. The diagnosis of preeclampsia is based on symptoms of hypertension and proteinuria, but the disorder is not always accompanied by an increase in blood pressure and proteinuria. Other diagnostic criteria include laboratory testing, persistent epigastric pain, and cerebral disturbances. The currently used diagnostic criteria are not

Preeclampsia is a common hypertensive disorder that occurs only during pregnancy in some individuals. Diagnosis of preeclampsia is made with a new onset of high blood pressure with numbers greater than 140/90 and protein in her urine. Currently the cause of preeclampsia remains unknown. However, preeclampsia is also associated with a decrease in placental perfusion which could restrict uterine growth, decrease fetal movement and cause hypoxia and fetal distress (London, Wieland Ladewig, Davidson, Ball, McGillis Bindler, & Cowen). . Around twelve to twenty-five percent of growth-restricted fetuses and small for gestational age infants along with fifteen to twenty percent of preterm births are correlated with preeclampsia the complications

Thank you for responding. It is clear that to prevent a complication in pregnant women with preeclampsia is to administer certain medication such magnesium sulfate, and sometimes induce labor or C-section. I am not an Obstetrician and Gynecologist nurse, but I think is hard to believe not to treat the high blood pressure on these patients who may be at risk to develop other complications like seizure or stroke. Anyway, that piece information that you have submitted was very interesting and informative at the same time. One think that I like to the science of medicine is the continuous evolution. This science is not static, but movable. That helping us to keep on continue to research so we can be up to

This analysis research paper about Pre-eclampsia gives a background on the underlying and ongoing issues that this disease has presented in women’s health. Pre-eclampsia is a serious life-threatening condition during pregnancy that causes hypertension, swelling, and death in the pregnant woman and fetus. Numerous studies have been conducted in the last thirty years that have proven that the reduced use of sodium has in fact, increased a pregnant woman’s chances of developing this disease even though, it has been thought that reducing sodium would actually help the mother. This has caused Dr. Brewer to develop “ The Dr. Brewer Pregnancy Diet” which actually goes against what most western medical professionals believe that will help prevent preeclampsia in pregnant women. This paper will include a case study done on various women and the astonishing results that can change women’s health forever.

Hypertension is defined as persistent increase of blood pressure in human body. A pregnant women is considered high blood pressure when the systolic reading is greater than 140 mmHg and diastolic reading greater than 90 mmHg. High blood pressure in pregnancy is also known as ‘gestational hypertension’. Gestational hypertension could lead to development of a condition called preeclampsia. Initially, gestational hypertension is a new onset of high blood pressure after the 20th weeks of pregnancy without the presence of proteinuria and end-organ dysfunction, while in preeclampsia, which is a multi-systemic disorder will causes proteinuria and organ dysfunction1. When there is grand mal seizures happens in preeclampsia pregnant women, it is known as eclampsia1. Eclampsia is a severe end of preeclampsia which may leads to death.

Proteinuria is a measure utilised in the diagnosis of pre-eclampsia. However, there is debate regarding the threshold for significance. The objective of this study was to determine which proteinuria threshold is important for the clinical management of pre-eclampsia in high-risk women, with the specific aim of assessing whether women with 300-499mg/24h of proteinuria could be considered suitable for outpatient management. This was achieved by evaluating incidence of adverse maternal and perinatal outcomes against the differing thresholds of proteinuria in women with pre-eclampsia. The data was collated from a nested case-control of women who partook in a VIP Trial: Vitamins In Pre-eclampsia (2006). 947 women with singleton pregnancies were identified. They were separated into four groups, to compare women with pre-eclampsia and proteinuria (300-499mg/24h or 500mg/24h or over), to women who had no occurrence of proteinuria but had either chronic (CHT) or gestational hypertension (GH). The results of the study clearly indicate that women with proteinuria of 300-499mg/h have more severe hypertension, early deliveries and SGA infants than women managed as outpatients (CHT and GH). However it is apparent those with proteinuria above 500mg/24h are at substantially greater risk of complications than those with a level of 300-499mg/24h. It is accepted that other factors may have an adverse affect on pregnancy outcomes, but despite this the role of high