Pre-eclampsia superimposed on chronic hypertension - what does this mean
Pre-eclampsia superimposed on chronic hypertension is a condition in which pre-eclampsia develops in a woman who already has chronic hypertension. it is characterized by high blood pressure, proteinuria, and edema and is associated with an increased risk of adverse maternal and fetal outcomes.
What happens during the disease - pre-eclampsia superimposed on chronic hypertension
Pre-eclampsia is a condition characterized by the development of hypertension and proteinuria in a pregnant woman after the 20th week of gestation. it is thought to be caused by a combination of genetic and environmental factors, including maternal age, body mass index, and underlying chronic hypertension. the underlying hypertension leads to an increase in vascular resistance, which causes an increase in systemic vascular pressure. this increased pressure leads to an increase in the permeability of the placental capillaries, allowing for the transport of serum proteins into the intervillous space. this proteinuria is a hallmark of pre-eclampsia and is thought to be a result of the increased pressure in the systemic circulation.
How does a doctor diagnose
- Obtain medical history
- Physical examination
- Blood pressure monitoring
- Urine test
- Blood tests
- Ultrasound scan
- Doppler ultrasound scan
- Magnetic resonance imaging (MRI) scan
Additional measures may include:
- Fetal monitoring
- Fetal movement counting
Treatment and Medical Assistance
Main Goal: Control of hypertension and prevention of further complications.
- Monitoring of blood pressure, proteinuria, and other relevant laboratory tests
- Administering antihypertensive medications, such as angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs)
- Monitoring of fetal growth and well-being
- Administering magnesium sulfate to prevent seizures
- Administering corticosteroids to accelerate fetal lung maturity
- Delivery of the baby as soon as it is safe to do so
- Close monitoring of blood pressure and other relevant laboratory tests after delivery
7 Days of Hospitalization Required
Average Time for Outpatient Care Not Established
Pre-eclampsia superimposed on chronic hypertension - Prevention
In order to prevent pre-eclampsia superimposed on chronic hypertension, it is important to maintain regular prenatal care, monitor blood pressure, and adhere to a healthy lifestyle including a nutritious diet, regular exercise, and stress management. additionally, it is important to avoid smoking, as well as the use of alcohol and certain medications.