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PREECLAMPSIA IN PREGNANCY AND MIDWIFERY

PREECLAMPSIA IN PREGNANCY AND MIDWIFERY. Kertu Lemberg 2010. INTRODUCTION. Preeclampsia is a frequent pathology; In Estonia preeclampsia occurs 5-8%; Preeclampsia is specific to the pregnancy, when during the second half of the pregnancy appears first time high blood pressure or proteinuria.

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PREECLAMPSIA IN PREGNANCY AND MIDWIFERY

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  1. PREECLAMPSIA IN PREGNANCY AND MIDWIFERY Kertu Lemberg 2010

  2. INTRODUCTION • Preeclampsia is a frequent pathology; • In Estonia preeclampsia occurs 5-8%; • Preeclampsia is specific to the pregnancy, when during the second half of the pregnancy appears first time high blood pressure or proteinuria.

  3. RESEARCH PROBLEM • Preeclampsia is a difficult pregnancy- timely pathology; • Midwives practice´s differently; • Wish to read up on preeclampsia in Pregnancy and Midwifery.

  4. PREECLAMPSIA ETIOLOGY, PATHOGENESIS AND DIAGNOSTIC CRITERIA • Preeclampsia has been explained as syndroma; • Vasospasm in every organ; • Changes in clotting system; • Systolic BP ≥ 140 mmHg or elevation ≥ 30 mmHg comparing to the nonpregnancy; • Diastolic BP ≥ 90 mmHg or elevation ≥ 15 mmHg.

  5. Preeclampsiaeffecttothewomen and thefetus • Mother: changes in central nervous systema, cerebral haemorragia, retina damage, lung oedema, kidney damage, liver rupture, trombotsytopenia, DIC; • Fetus: growth retardation, delivery distress, preterm delivery, delivery timely hypoxia and death.

  6. PREECLAMPSIA IN PREGNANCY AND MIDWIFERY • Recular antenatal observation; • Weight, BP, measure the symphysis- fundus distance, urine sample; • Preeclamptic symptom assess; • A midwife gives recommendation and teaches the pregnant women.

  7. DISCUSSION • High BP and pathologic changes in pregnant organism can exert to the fetus detrimental influence; • Teaching the patient. Thank you for your attention!

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