Women's health- hypertension and pre-eclampsia

Question 1

what is pre eclampsia

Answer 1

disease of placentation

condition with signs of end organ damage
mostly resolves after delivery

Question 2

what are complications of pre eclampsia for the mother

Answer 2

stroke, seizures, pulmonary oedema, AKI, inflammation of the liver, clotting abnormalities, (Hemolysis, Elevated Liver enzymes and Low Platelets) HELLP

Question 3

foetal complications of pre eclampsia

Answer 3

foetal growth restriction
intrauterine foetal death
pre term delivery
neonatal death
long term sequalae
-HTN
-CVD
-Diabetes

Question 4

what is the treatment and management for pre eclampsia

Answer 4

depends on gestation and severity

can be admitted
bloods - FBC/ U&E/LFTs/ Cls

CTG and USS to monitor foetal wellbeing

regular observations

commence antihypertensives

pre term delivery is indicated
-uncontrollable /severe hypertension
-signs of end organ damage

Question 5

describe severe pre eclampsia

Answer 5

medical emergency

MDT management

stabilise mother
- magnesium
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Question 6

post natal care

Answer 6

inpatient normally for 48 hours

regular monitoring in community for 2/52

fu with GP and CMW
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