Pre-Eclampsia/Eclampsia Flashcards
1
Q
2 things required for diagnosis of pre-ec, including values
A
HTN - >140/90
Proteinuria >0.3g/L
2
Q
Main characteristic of eclampsia
A
Tonic-clonic seizure
3
Q
Percentage of the pregnant population affected
A
5-10%
4
Q
Maternal consequences - at least 6
A
Renal failure Liver failure Cerebral haemorrhage HELLP - Haemolysis, Elevated Liver enzymes, Low Platelets Papilloedema Pulm oedema DIC Death
5
Q
Foetal consequences - 3
A
IUGR
IUD
Preterm delivery
6
Q
Pathogenesis
A
Disorder of placentation
Failure of trophoblast invasion into spiral arteries –> uteroplacental ischaemia –> widespread endothelial dysfunction
7
Q
Symptoms
A
May be non-sy Headache Malaise Vomiting Epigastric pain RUQ pain Visual disturbance Leg swelling
8
Q
Signs
A
(HTN + proteinuria)
Hyperreflexia
HELLP
Papilloedema
9
Q
Investigations
A
Mum: Serial BP monitoring FBC U&Es LFTs Coag screen Group and save potentially
Baby:
CTG & USS
10
Q
Treatment
A
You’re aiming to prevent worsening of condition and prevent seizures but remember that delivery is the only definitive treatment
Medical: Magnesium sulphate, STEROIDS, Anti-HTsives, IOL
Surgical: CS
