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Doctor insights on: Mild Vs Severe Preeclampsia

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Dr. Nikolaos Zacharias
229 doctors shared insights

Toxemia (Definition)

Toxemia = blood poisoning by toxins. Toxemia is also a name for preeclampsia ( ^'ed blood pressure, albuminuria ...Read more


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Whats severe preeclampsia or helpp please!?

Whats severe preeclampsia or helpp please!?

Risk of bleeding!: Sometimes abnormal placentas begin to breakdown at 20wks, leading to exposure of mom to some of dad's placental genes and lead to an "allergic" reaction where the vessels spasm and platelets are drawn away (thrombocytopenia). The spasm causes high BP, HA, liver dysfunction, vision changes, and protein in the urine; leads to maternal seizure, decreased baby growth, and sometimes placental abruption ...Read more

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Am i at risk for having severe preeclampsia?

Am i at risk for having severe preeclampsia?

Need more info : Risk factors are young age, first pregnancy, age greater than 35, african american, having other medical issues, history if preeclampsia on a prior pregnancy. There are others as well. Discuss with your doctor. ...Read more

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Do uptodate protocols for severe preeclampsia in regards to delivery no longer apply if blood pressure goes down with medication?

Do uptodate protocols for severe preeclampsia in regards to delivery no longer apply if blood pressure goes down with medication?

Let's hear OB's: While I would defer this to my OB colleagues, my understanding is with SEVERE pre-eclampsia that delivery is still indicated even if blood pressure comes down. Blood pressure is not the only thing they are concerned about with this disorder, and if yours is severe as you elude to, I don't think just getting BP controlled would by the fix. Love to hear from OB colleagues! ...Read more

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I developed severe early preeclampsia with my first child and, am now 8 weeks pregnant with my second. Is there anything I should be more aware of?

I developed severe early preeclampsia with my first child and, am now 8 weeks pregnant with my second. Is there anything I should be more aware of?

Yes, you should: Consult a high risk obstetrician, preferably a Materno-Fetal Medicine team (MFM) specializing in pregnancies complicated by hypertensive disorders and severe preeclampsia ASAP. Since there are significant short term and long term risks to your health as well as to the health of both of your children, careful monitoring will be needed to give you and them the best outcome possible. ...Read more

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Just dx'd with mild preeclampsia- I'm 28weeks. Does this put me at higher risk for preterm labor, or does it just mean I'll probably have to deliver?

Just dx'd with mild preeclampsia- I'm 28weeks. Does this put me at higher risk for preterm labor, or does it just mean I'll probably have to deliver?

Risk for preterm: For mild pre-eclampsia that begins before the baby is full-term (37 weeks) the typical treatment is admission to the hospital, with modified bed rest, low stimulation, fetal monitoring, and blood and urine tests. Steroid treatments to help your baby's lungs develop. If you remain stable, you may be able to wait to deliver until you're full-term. Your doctor will develop a plan that's right for you ...Read more

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I have severe preeclampsia 2011 stillbirth my ob told me that I should not conceive again coz it will happen again is it really true that no chance fo?

I have severe preeclampsia 2011 stillbirth my ob told me that I should not conceive again coz it will happen again is it really true that no chance fo?

Preeclampsia: You need to have consultation with a ob/gyn specialist in high risk pregnancies to get the answer to this question. ...Read more

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I had severe preeclampsia with my first pregnancy. What is the chance I will have it again in a second pregnancy?

I had severe preeclampsia with my first pregnancy. What is the chance I will have it again in a second pregnancy?

Significant: The range of preeclampsia recurrence is between 5-70%. The more severe the preeclampsia in the first pregnancy, the more likely the recurrence. Severe preeclampsia requiring delivery before 30 weeks gestation has the highest risk of recurrence. ...Read more

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I had severe acute preeclampsia and fulminant hellp syd in last pregancy now am 14 weeks & free b-hcg of 118.4iu/l & papp-a of 4.6iu/l - what risk?

I had severe acute preeclampsia and fulminant hellp syd in  last pregancy now am 14 weeks & free b-hcg of 118.4iu/l & papp-a of 4.6iu/l  - what risk?

Eclampsia Risks: Most studies indicate an increased risk of eclampsia in subsequent pregnancies if you had the full syndrome in the first. The increased risk ranges from 2 - 8x HCG levels at 14 weeks have a broad range - your level, converted to miu, is within the normal range. Some studies tout the effect of calcium supplements in preventing pre- and full eclampsia, but it is always best to consult with your ob. ...Read more

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I just gave birth by c-section due to blood pressure and severe edema. Will preeclampsia return?

I just gave birth by c-section due to blood pressure and severe edema. Will preeclampsia return?

Maybe: Pre-eclampsia can reoccur in future pregnancies but are most common in young women, advanced maternal age women, those with preexisting medical problems like high blood pressure, obese women, and those who got pregnant with fertility treatments. Preeclampsia can start in the postpartum time for some or continue with high blood pressures for several weeks after the baby is born. ...Read more

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36 weeks pregnant all of a sudden having severe pain in the back right side of my head. It is tender to touch in one particular area. Preeclampsia neg?

36 weeks pregnant all of a sudden having severe pain in the back right side of my head. It is tender to touch in one particular area. Preeclampsia neg?

Hard to say: if u took a tylenol (acetaminophen) and pain is not gone and you see spots in your vision you should see a doctor right away, make sure the baby stays active. if movements slow down notify your doctor ...Read more

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I have severe preeclampsia 2011 almost loss of vision, kidney failure stillbirth a very traumatic event of my life do I have to conceive again.Scared?

I have severe preeclampsia 2011 almost loss of vision, kidney failure stillbirth a very traumatic event of my life do I have to conceive again.Scared?

No, of course not: Women are free to conceive or not to conceive. Women are free to do whatever they want with their own bodies. If not wanting to conceive, and wanting to continue having sex, just visit the ob-gyn and get some really effective birth control. One can also use condoms in addition to a method from the ob-gyn, for maximum protection. Vasectomy for the husband is an option, but rather permanent. ...Read more

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Cld mild preeclampsia cause brain aneurysm formation in someone with family history or does blood pressure have to remain high for a longer period of time?

Cld mild preeclampsia cause brain aneurysm formation in someone with family history  or does blood pressure have to remain high for a longer period of time?

Not cause - rupture.: Preeclampsia cannot cause brain aneurysms, but can certainly make them rupture and cause massive strokes. Berry aneurysms in the brain vessels pre-date the pregnancy, but when it is complicated by pree they can leak or rupture with catastrophic consequences. The longer the preeclamptic hypertension goes untreated, the higher the risk of stroke (hemorrhagic, massive, occasionally lethal). ...Read more

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The likelihood of severe pre-eclampsia, and ways to avoid it before onset?

The likelihood of severe pre-eclampsia, and ways to avoid it before onset?

High: Your risks can be reduced by early prenatal care by an OB md and if it develops, a maternal fetal medicine specialist, nutritional counselling, and fetal non-stress testing(nst) with a biophysical profile. ...Read more

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What are the chances of having a heathly pregnacy after severe pre-eclampsia?

What are the chances of having a heathly pregnacy after severe pre-eclampsia?

75% - higher on ASA!: 25-65% recurrence rates can be expected for severe pree (higher recurrence with more severely affected pregnancies and earlier onset disease) - however you can help yourself by taking 81 mg Aspirin daily preconceptionally (decreases recurrence by 15-75%). Ask your doctor if it is safe for you to take aspirin. ...Read more