What You Need To Know About Preeclampsia

The one thing that any pregnant woman would fear is developing any complications due to pregnancy. In the majority of cases, if the mom-to-be is taking excellent care of herself, and was not excessively overweight before getting pregnant, the pregnancy usually is quite smooth. However, unfortunately, even so, sometimes she is given a poor hand and ends up with a complication. And, one of those complications that pregnant women can end up with is pre-eclampsia which usually shows up towards the end of the pregnancy. At one time, preeclampsia was called toxemia and the first warning sign is consistent high blood pressure. The consistent high blood pressure will cause the protein to leak in urine, and then there is plenty of swelling in the feet, legs, as well as feet. And, if the blood pressure is not properly managed with preeclampsia, then a severe condition, eclampsia can emerge.

Eclampsia is serious because it causes the organs to shut down, and it causes seizures which put the mother’s life and the baby’s life at risk. And the only solution for this is delivery which can mean that there is a good chance that the baby will be premature if it happens under 37 weeks. Unfortunately, there is no cure for preeclampsia either, and if preeclampsia happens after 32 weeks, then the baby just may have to be delivered as it becomes more dangerous as the pregnancy progresses. If the condition happens sooner, then blood pressure medications are prescribed as well as bed rest in order to keep the condition managed so it does not worsen and put the lives of the mother and the unborn baby at risk.

Many times there are no obvious symptoms of preeclampsia other than consistent hypertension, and not every case presents protein in the urine either. However, more often than not, once the preeclampsia worsens, that is when protein begins to spill which is when action will be taken immediately whether it is to put the mother on blood pressure meditation, bedrest, or if the pregnancy is progressed enough, then delivery. Sometimes sudden weight gain of 4 or more lbs in a week in the third trimester is a sign as well, however, in a handful of cases, some pregnant women do get symptoms which means the condition has worsened. The symptoms experienced with preeclampsia are:

  • Migraines
  • Extreme changes in vision or seeing floaters
  • Dizziness
  • Nausea and vomiting
  • Having trouble with urine output
  • Abdominal pain
  • Extreme swelling of hands, feet, and legs due to extreme fluid retention

However, again, not every pregnant woman with preeclampsia as these symptoms and this is why the doctor will constantly need to take blood pressure as well as urine checks. If the blood pressure has been consistently high for a while, then that is when concerns will be raised and the pregnant woman will need to start taking blood pressure at home every few hours to monitor it. And, it is extremely important that if preeclampsia happens earlier on in the pregnancy which is not usually before 20 weeks, but even at that point, it is very important that the mother-to-be who has the condition manages it properly. She must take blood pressure medication as instructed, and get as much rest as possible, and go for more prenatal visits for check-ups because those will be expected. If the preeclampsia is not properly managed, then that can prevent the blood flow from going through the placenta properly which will cause:

  • Low birth weight
  • Prematurity (which is likely to happen if the preeclampsia becomes unmanageable by necessity due to induction)
  • Epilepsy
  • Cerebral palsy
  • Vision and hearing problems
  • Learning disabilities

Preeclampsia can also cause the placenta to separate from the womb and this term is called placental abruption. However, even if the preeclampsia became unmanageable and the baby was delivered without any complications, and the baby was unaffected, the mother is not out of the woods as she would be given magnesium to lower the blood pressure. She can still suffer from complications even after birth, and it can be serious to the point that she would have:

  • Bleeding from the liver
  • Blindness that is not reversible
  • A stroke
  • Water in the lungs
  • Seizures
  • Heart failure

However, this is also rare because the treatment after birth is effective and the mother is usually healed after some time has elapsed during the postpartum period. But, it cannot be neglected or ignored even after the fact. Her blood pressure will have to be constantly monitored and it can take a while for it to return to normal. Preeclampsia is not deadly if properly managed, but it is a serious condition that needs to be taken seriously!

How is water delivery performed and what are its advantages?

 

Childbirth in water is a form of birth in which the woman stays in the water and the baby comes into the world through the water, just as it was in the womb. The water birth is one form of delivery in which the mother is inside a bath with hot water between 36 ° C and 37 ° C, covering the entire stomach. In this type of delivery, the environment is dim and the father or companion can stay in the tub supporting the future mother.

Advantages of water birth for your baby:

This type of birth is very natural for the baby, as it comes to the world surrounded by the water that is heated, just as it was inside the womb. Some doctors say that this type of delivery is dangerous because the child can suck water, but other doctors say that this type of delivery is safe, and that the baby, when leaving the mother’s belly, still breathes for about 20 seconds through the umbilical cord until his lungs expand and he breathes on his own, not running the risk of drowning. For details about pregnancy click on fertility drugs for pregnancy.

Advantages of water birth for the future mother:

Childbirth in water is very advantageous for the mother-to-be, because warm water causes increased blood supply, lowering blood pressure, and muscle relaxation, which relieves the pain of contractions, making it easier for the baby to leave. Comparing labor in water with normal delivery , the first is usually faster and less painful than the second, and it is calmer for the baby. It is important to remember that this type of delivery is not recommended in : preterm labor; fetal distress; presence of meconium; women with diabetes; women who have bleeding; women with viral diseases such as HIV-positive, hepatitis B, genital herpes with active lesion; when the baby is very large; cases in which the mother and baby need to be monitored; etc. In Brazil, there are few hospitals that offer this type of delivery, but in some cities doctors and obstetricians may be found to deliver this birth at home. Not forgetting that if the future mother decides to do this birth at home should have the participation of a qualified medical team and also an ambulance with ICU for emergency cases.

I am leaving Leboyer

BIOLOGY

The Leboyer delivery was introduced in Brazil in 1974 by obstetrician Claudio Basbaum and released under the name of “born smiling”. The Leboyer birth was created by the French obstetrician doctor  FrédérikLeboyer and was  introduced in Brazil in the year 1974 by obstetrician  Claudio Basbaum . In this delivery, also called labor without violence , it is tried not to stress the baby, making its first experience outside the uterus less traumatic. This type of delivery is done in low light, so as not to disturb the baby; silence, especially after birth; massage the baby’s back to stimulate his lungs; baby bath near the mother, which can be given by the father; warm environment, such as the mother’s abdomen, in order to mitigate the impact of the difference between the intrauterine and extrauterine worlds; and early breastfeeding. In Leboyer’s delivery, the umbilical cord is only clipped when it stops pulsating, to facilitate the transition from breathing. This delivery reduces the “trauma” of the baby out of the womb. Studies conducted by experts on babies born through this type of delivery suggest that children have become safer, autonomous early and emotionally balanced.

Humanized birth

Brazil is a champion in caesarean sections, even when there is no need to resort to it. In even more serious situations, the woman is subjected to this type of delivery without at least having opted for it. In addition, in many care centers, the pregnant woman can not require the presence of someone of her esteem during the delivery, nor during her hospitalization, if necessary; and reports of abuse or lack of consideration for the feelings of the expectant mother during this important time are not uncommon.

Thus, humanized deliveries have been increasingly required and claimed, and consist in a process in which respect for the physiological and emotional processes of the pregnant woman and her baby are objectified. Thus, except in extreme cases, to the detriment of the cesarean section, normal birth is adopted, and in the position that the woman prefers; It is up to the obstetrician to follow the process, interfering as little as possible, that is: only when necessary or required. Thus, the scraping of pubic hair, cut of the perineum, the use of serum with oxytocin, restraint of movements, and separation of the baby soon after delivery, among other aspects, are not considered. The presence of the companion, and / or another companion is stimulated, mainly because it offers more peace of mind to the parturient, and avoids abuses by health professionals. Besides that,

Not all doctors are prepared for it, especially since many believe that such a process is “wasting time.” Thus, if a woman wishes to have this experience, when she gives birth to her child, she should already research how to proceed to have a humanized birth, remembering that it provides a faster recovery to the woman, and lower risks to the baby. Diabetes can be defined as a problem related to insufficient insulin production by pancreatic cells. The consequences of this dysfunction is the elevation of blood sugar levels, thus compromising the correct functioning of the body. Regarding the topic of diabetes and pregnancy, there are two possible associations. The first refers to women who were already diabetic before they even became pregnant and the second possibility refers to those women in whom diabetes manifests during pregnancy. This second characterizes gestational diabetes.

For these two types of pregnant women the goals of treatment are the same:

– To reduce the possibility of the birth of babies of size outside normal or healthy standards;

– Avoid abrupt drop in baby’s blood sugar rates after birth and

– Allow for the possibility of normal births.

During the gestational period, several are the metabolic and hormonal changes that occur in the body of the future mother. One is the increased production of hormones, especially the placental lactogen hormone, which may interfere with the action of maternal insulin. However, for most pregnant women, this is not a problem because the body itself compensates for the imbalance, increasing the insulin production. But not all women react in this way: some of them develop glycemic elevations characteristic of gestational diabetes. In this way, it is very important to perform prenatal care as soon as possible to preserve the health of the mother and baby. The diagnosis is made through the performance of fasting glucose, already requested in the first prenatal visit for all pregnant women. If the result is less than 90 mg / dl and the woman does not present risk factors, follow-up will occur normally. However, if the result exceeds 90 mg / dl and presents risk factors, follow-up should be more careful. Pregnant women with a glycemia index above 140 mg / dl recurrent during the onset of prenatal care will be followed up as a high-risk pregnancy.

But what are the risk factors?

Even though there are no conclusive studies on the disease, there are some factors that can be considered as indicative of risk for gestational diabetes. Among them we can highlight:

1- Obesity or excessive weight gain during pregnancy.

2- Age above 35 years.

3- People who have short stature.

4- Family history of diabetes.

5- Complications in pregnancy due to excessive growth of the fetus.

Regarding diabetes, caloric restriction diets and moderate and low impact physical activity are important recommendations to minimize the consequences of the high glycemic rate. In some cases even injections with insulin are prescribed. This problem can reach up to 7% of pregnant women, but it does not currently prevent a quiet pregnancy, is diagnosed early and receives medical care during pregnancy and after the baby is born.

Eclampsia and pre-eclampsia

BIOLOGY

Eclampsia is one of the leading causes of death among pregnant women. It is the most serious form of a condition called gravidica toxemia, and can be prevented by prenatal care. Pre-eclampsia and eclampsia are pictures that are part of a condition called gravidica toxemia. This disease affects women who are in the 20th week of pregnancy or more, being one of the main causes of maternal death in our country. Its genesis is not yet clear. However, it is known that the placenta has great influence on the condition, and that some groups of women are predisposed, such as:

– With multiple gestation;

– Pregnant for the first time;

– Pregnant in adolescence or after 35 years of age;

– Hypertensive;

– With kidney problems;

– Diabetics;

– Carriers of lupus;

– Obesas;

– Who have family history for the diseases that were mentioned above.

Some researchers also point out deficiency of the amino acid L-Arginine, autoimmune diseases, problems in blood vessels, inadequate diet and heredity; as possible reasons for the onset of the disease. Pre-eclampsia is the mildest manifestation of pregnancy toxemia. Its main symptoms include bloating and / or weight gain, hypertension and protein in the urine (proteinuria).

If they are not controlled, the pregnant woman may present these symptoms with more intensity, accompanied by headache, stomach pains, tachycardia, blood in the urine and visual changes. Not seeking medical help quickly, the picture may trigger eclampsia itself, causing vaginal bleeding, convulsions and even coma, because of the considerable increase in blood pressure. Eclampsia can be prevented by controlling for pre-eclampsia. This, in turn, can be prevented or at least monitored by careful prenatal monitoring, including recommendations such as high daily water intake, reduction of salt intake and, in cases where it has already occurred, rest absolute. As the disease spontaneously regresses after placental withdrawal; in cases of severe pre-eclampsia or eclampsia, there is the possibility of being required to anticipate delivery, aiming at its integrity and that of the mother. If the child has not yet been born, some intravenous medications may be given to prevent seizures and a sudden increase in blood pressure.