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Essay / The Concept of Preeclampsia
Preeclampsia is a condition characterized by high blood pressure, excessive protein in the urine, and swelling of the legs and feet (Suhonen et al., 1993). Lewis et al. (2014) defined preeclampsia as a hypertensive state of pregnancy diagnosed when a woman without a history of hypertension develops hypertension and proteinuria after 20 weeks of gestation. According to the WHO (2011), it is the most important pathology among hypertensive disorders due to its impact on maternal and neonatal health. It is one of the leading causes of maternal and perinatal mortality and morbidity worldwide. The rate of preeclampsia increased by 40% between 1990 and 1999, particularly in developed countries (Shamsi et al., 2010). It affects several maternal organs, including the liver, brain and kidneys (Lewis et al. , 2014), however, the etiology of preeclampsia is only partially understood.Say No to Plagiarism Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”?Get the original essayThe appearance of hypertension during pregnancy (with persistent diastolic blood pressure > 90 mm Hg) with the appearance of significant proteinuria (> 0.3 g/24 h) can be used as criteria for identifying preeclampsia Although changes. Pathophysiological pathologies (e.g. inadequate placentation) exist from the early stages of pregnancy, hypertension and proteinuria usually become apparent in the second half of pregnancy and are present in 2-8% of all pregnancies overall (WHO, 2011). Obese pregnant women (BMI > 30 kg/m²) have an almost three times higher risk of preeclampsia than normal women. weight (BMI 18.5-<25.0 kg/m2) (Lewis et al., 2014). Preeclampsia is generally classified as mild or severe. Severe hypertension, significant proteinuria, significant maternal organ dysfunction, early onset (before 32 to 34 weeks gestation) of preeclampsia, or fetal morbidity may be considered in the severe preeclampsia category in many regions. of the world. Progression from mild to severe can be rapid and unexpected, leading to maternal deaths (WHO, 2011). Preeclampsia has many consequences, including impaired fetal growth, premature birth, and death. It can also lead to eclampsia – the occurrence of seizures related only to a diagnosis of preeclampsia (Lewis et al., 2014). Keep in mind: this is just a sample. Get a personalized article from our expert writers now. Get a Custom Essay The author identified a significant and independent relationship between preeclampsia and GDM. Diabetic pregnancies as well as preeclampsia may worsen due to adverse perinatal consequences (Crowther et al., 2005). Therefore, the National Collaborating Center for Women and Children's Health (NCCWCH) presented guidelines for routine prenatal care recommending that at the first visit, a woman's level of risk for preeclampsia be assessed by identifying a range of maternal characteristics, including maternal age, body mass index and family and previous history of preeclampsia, so that a plan for her antenatal visits can be formulated. This will allow intensive maternal and fetal monitoring, leading to earlier diagnosis of preeclampsia with the potential to alleviate an adverse outcome (Akolekar et al.., 2011).