Symptoms of preeclampsia

If a woman suffers from hypertension, she is likely to develop preeclampsia during pregnancy. In the early stages of the disease, she will feel shortness of breath and lack of oxygen. As the weight of the fetus gradually increases in the later stages of pregnancy, the pregnant woman will have difficulty moving, and edema will appear on her legs. In severe cases, it may even cause cerebral hemorrhage, so you must go to the hospital for a prenatal check-up in time, but you must choose the right medicine for you, otherwise it will affect the fetus in your belly.

Preeclampsia is a special and serious clinical manifestation of hypertensive disorders complicating pregnancy. Hypertensive disorders complicating pregnancy with cerebral hemorrhage are rare, but eclampsia is the most common obstetric cause of intracranial hemorrhage during pregnancy. When eclampsia occurs, it can cause respiratory arrest, decreased blood oxygen saturation, ischemia, hypoxia, and edema of brain tissue, which can significantly increase the incidence of cerebrovascular accidents; agitation and rigid contraction of skeletal muscles are more likely to cause placental abruption and other injuries. These two complications are important causes of death in patients with hypertensive disorders complicating pregnancy.

Due to poor uterine-placental blood perfusion and systemic tissue hypoxia during convulsions, the oxygen content in the fetal-placental blood circulation is significantly reduced, which is more likely to cause fetal distress or even intrauterine fetal death. Therefore, effective treatment of preeclampsia is an important way to reduce maternal and infant mortality due to hypertensive disorders complicating pregnancy. Analyzing the results of this article, patients in Group A were treated with relatively conservative measures, with one-sided emphasis on two criteria for termination of pregnancy: one was 6 to 12 hours after convulsion control; the other was gestational age greater than 36 weeks. This resulted in 3 cases of placental abruption in this group. One of them developed DIC and underwent hysterectomy, but survived due to effective rescue. Two cases developed intracranial hemorrhage, but were also saved due to timely discovery and treatment. Although there were only 5 newborns less than 37 weeks of gestation in this group, there were 6 perinatal deaths. In the collaboration of pediatricians and anesthesiologists, active treatment measures were taken for patients in Group B. 19 patients underwent cesarean section to terminate their pregnancies 2 hours after eclampsia was controlled. One patient in this group developed placental abruption. Although the number of premature babies increased significantly, all 11 premature babies survived with the collaboration of pediatricians.

After labor begins, the fear of childbirth and the stimulation of uterine contractions, coupled with the physical exertion during labor, cause changes in the patient's neuroendocrine system, sympathetic nerve excitement, and release of catecholamines, which further increase blood pressure and can easily induce complications and recurrence of eclampsia. The pathophysiological change in patients with hypertensive disorders complicating pregnancy is vasospasm, and epidural anesthesia can dilate blood vessels below the anesthetic plane, reduce venous return, reduce cardiac preload and postload, and have a hypotensive effect. The patient completed delivery quickly and painlessly, minimizing the occurrence of complications and recurrence of eclampsia. Therefore, it is believed that terminating pregnancy within 6 hours of prenatal eclampsia and performing cesarean section in a timely manner can effectively reduce the incidence of complications of gestational hypertension and minimize maternal and infant deaths. For the vast majority of eclampsia patients, it is a treatment method with more benefits than disadvantages.