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Preeclampsia
It is a pregnancy-specific multisystem disorder of unknown etiology. The disorder affects
approximately 5 to 7 percent of pregnancies and is a significant cause of maternal and fetal
morbidity and mortality. Preeclampsia is defined by the new onset of elevated blood pressure
and proteinuria after 20 weeks of gestation. It is considered severe if blood pressure and
proteinuria are increased substantially or symptoms of end-organ damage (including fetal growth
restriction) occur. There is no single reliable, cost-effective screening test for preeclampsia, and
there are no well-established measures for primary prevention. Management before the onset of
labor includes close monitoring of maternal and fetal status. Management during delivery
includes seizure prophylaxis with magnesium sulfate and, if necessary, medical management of
hypertension. Delivery remains the ultimate treatment. Access to prenatal care, early detection of
the disorder, careful monitoring, and appropriate management are crucial elements in the
prevention of preeclampsia-related deaths.
Preeclampsia is a pregnancy-specific, multisystem disorder that is characterized by the
development of hypertension and proteinuria after 20 weeks of gestation. The disorder
complicates approximately 5 to 7 pe...