9 risky groups where pregnancy poisoning may occur

SOURCEUAV

Prof. Dr. Onur Erol explained what you need to know about pregnancy poisoning. Noting that pregnancy poisoning (pre-eclampsia) is a condition characterized by high blood pressure (hypertension) that may occur during pregnancy, Erol said, “It is seen at a rate of approximately 3-5 percent during pregnancy. Pregnant women who experience pregnancy poisoning may also experience damage to other organs due to high blood pressure. “For pregnancy poisoning, which usually starts after the 20th week of pregnancy, it is of great importance for the health of the mother and baby to not ignore the symptoms and not to neglect the controls,” he said.

“Detection and treatment are vital”

Prof. Dr. Erol said, “Pregnancy poisoning is a serious pregnancy complication that can cause high blood pressure and consequent damage to other organs in pregnant women who have not had high blood pressure before, starting after the 20th week of pregnancy. Rarely, it may occur in the first weeks after birth. “If pregnancy poisoning is not detected and treated at the appropriate time, it may cause fatal developments in the mother and the baby,” he said.

“It is not known exactly why it developed.”

Noting that it is not known exactly why pregnancy poisoning develops in pregnant women, Erol said that the disease is thought to be caused by the placenta, which is embedded in the uterine wall of the pregnant woman and provides the transmission of nutrients and oxygen to the baby throughout pregnancy. Erol said, “It develops due to abnormalities in the vascular structure of the placenta and the uterine wall, which are settled in the uterine wall of the pregnant woman, for various reasons, and the resulting disorders in blood flow.”

“Those in the high risk group need to be careful”

“Pregnant women who have had pregnancy poisoning in previous pregnancies have a high risk of recurrence,” Erol said, adding, “Those with multiple pregnancies (twins, triplets), chronic hypertension, kidney diseases, diabetes, and auto-immune diseases such as systemic lupus erythematosus are in the high risk group.”

Pointing out that other risk factors for pregnancy poisoning, such as first pregnancy, obesity, family history of pregnancy poisoning, in vitro fertilization pregnancies, black race, and low-income women, have a higher incidence than other pregnant women, Erol said the following about the symptoms:

“Initially, the pregnant woman may not have any obvious complaints. During routine pregnancy control, some laboratory findings such as high blood pressure or protein leakage in the urine, deterioration in kidney function tests, decrease in platelet count, and high liver enzymes indicating damage to other organs may be detected. Apart from these, serious headache, blurred vision, visual field floaters, visual problems such as light sensitivity, serious abdominal pain, nausea and vomiting, shortness of breath in cases of pulmonary edema, sudden edema, especially in the face and hands, and resulting weight gain may be symptoms of pregnancy poisoning. .”

Prof. Dr. Erol pointed out that preeclamptic pregnant women are generally recommended to be followed up in the hospital, but rarely, if mild preeclampsia is present, close follow-up can be done without hospitalization, depending on whether the patient can recognize emergencies and the time it takes to reach the hospital. Emphasizing that strict blood pressure monitoring is absolutely necessary, Erol said, “Antihypertensive medications are started when necessary. The mother may need a steroid injection for the baby’s lung development. “In some cases, magnesium treatment can be started for the mother to prevent the development of seizures in the mother and to protect the baby from some negative consequences of prematurity,” he said.

“It is important for the baby to be active”

Erol continued his speech as follows:

“Necessary blood tests and the protein level in the urine are monitored at appropriate intervals depending on the severity of the disease and the week of pregnancy. The baby’s well-being, growth, blood flow and amniotic fluid amount are monitored by ultrasonography. In addition, the baby’s well-being is closely monitored with NST (non-stress test) at the appropriate gestational week. It is also important for the preeclamptic mother to follow the baby’s movements. “The baby’s mobility is an indicator of fetal well-being.”

“The real treatment is birth”

Finally, Prof. stated that the main treatment for preeclampsia is birth. Dr. Onur Erol said, “If there are mild preeclampsia symptoms, appropriate treatments and close follow-up are continued until the appropriate time for the baby to be born, taking into account the well-being of the mother and the baby. Generally, in cases of mild pregnancy poisoning, there is a high probability of waiting until the 37th week of pregnancy, while in cases of severe preeclampsia, early delivery may be necessary. “The method of delivery is decided according to the severity of the disease, the week of pregnancy, and the condition of the mother and the baby,” he said.