What to do about preeclampsia

Patient's question:

The phenomenon of high blood pressure appeared after 3 months of pregnancy, and it gradually increased. Today's check showed 180/110, with proteinuria+++ (+++) in the urine. What are the potential impacts? What should be noted?

Doctor's answer:

Hello, preeclampsia can lead to the following consequences:
1. The pregnant woman may experience pulmonary edema and difficulty breathing, usually occurring postpartum.
2. Due to elevated blood pressure, it can easily cause cerebral hemorrhage. The higher the blood pressure, the greater the risk of bleeding, making it one of the most common death causes of preeclampsia.
3. Kidney function may be impaired, leading to oliguria, which can progress to acute kidney failure in severe cases.
4. The pregnant woman, who previously had no heart disease, may now exhibit abnormal heart sounds.
5. During seizures, she may bite her lips or tongue or fall unconscious and injured. Additionally, secretions may be inhaled into the lungs, causing aspiration pneumonia.
6. Seizures involving muscle contractions throughout the body can trigger uterine contractions, leading to premature birth.
7. Deterioration of placental function can result in poor fetal development. Mild cases may cause intrauterine distress, while severe cases may lead to fetal death.
You should:
1. Schedule regular prenatal check-ups
This is the best way to detect preeclampsia early. During each checkup, the doctor will measure blood pressure, test urine, and weigh the pregnant woman, as well as examine for leg edema. These are all critical indicators for diagnosing preeclampsia. If abnormalities are detected, the doctor can promptly initiate targeted treatment to control the condition and prevent it from worsening.
2. Maintain a balanced diet
Experts note that preeclampsia is closely related to nutritional factors. Excessive intake of animal fat and calories, combined with insufficient protein, vitamins, minerals, and trace elements, can trigger or exacerbate preeclampsia. Therefore, providing proper dietary guidance to pregnant women is essential for prevention and control.

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