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RCG
Hypertension Platelet <100,000/ul-thrombocytopenia
Most common medical complication in pregnancy Renal insufficiency as evidenced by creatinine of more than 1.1
5-10% incidence as a whole mg/dl or doubling of the base line
Deadly triad with HEMORRHAGE and INFECTION Elevated liver transaminases
Major cause of maternal and perinatal morbidity world wide Cerebral symptoms
for it is a part of a part of a deadly triad along with Visual symptoms
o Hemorrhage and w/ or w/o Pulmonary edema
o Infection In the past – subclassified to mild, moderate and severe NOT
Preeclampsia syndrome (PES) CAUSE OF MATERNAL ANYMORE
DEATH/Mortality rate:
o WHO – 16% (developed countries)
o DOH – 32% (Philippines)
Gestational HTN
BP >/= 140 mmHg systolic and or Diastolic BP >/= 90 mmHg
in a PREVIOUSLY NORMOTENSIVE pregnant women who
is >/= 20 weeks AOG and has NO PROTEINURIA
BP returns to normal within 12 weeks after delivery (Transient
HPN) Risk factors:
Increased risk for or possibility of having preeclampsia and o Young and nulliparity
eclampsia syndrome in around 10% of cases. o Older
Severity will be according to the blood pressure reading. o Environmental
SEVERE o Socioeconomic
o If it falls on 160 or even higher for systolic and 100 or even o Obesity
higher for diastolic is considered BMI= 35 high risk
o Presence or absence of proteinuria o Twin gestation
o Presence of maternal symptoms like o Race and ethnicity
Head ache
Visual disturbance Eclampsia
Right upper quadrant pain or epigastric pain All the severe signs and symptoms of pre eclampsia but this time
Liver transaminases affectation with severe development of grand mal convulsions or seizures
Thrombocytopenia in a woman with preeclampsia in the absence of neurologic
Note: Absence of the following on severe criteria will be disease that could account for Seizure before during and after
considered mild. delivery or labor.
Delivery
Vaginal
o Less morbidity
Eclampsia: Goal and management o Preferred mode of delivery
1. Forestall convulsion o Minimal blood loss = d/themoconcentration
2. Prevent ICH and organ damage Anesthesia/ anlagesia
3. Delivery of a healthy new born o Epidural – ideal\