Page 173 - Critical Maternity & Newborn Health Nursing

• Eclampsia after 20 weeks or in early

postpartum

• Development of convulsions or
• Chronic hypertensive
coma in preeclamptic patient
disorders:-

o Chronic hypertension
• Hypertension and / or proteinuria
o Superimposed pre-
in pregnant patient with chronic
eclampsia / eclampsia
hypertension

• Development of pre-eclampsia or
eclampsia in patient with chronic

hypertension

Risk factors: [Predisposing factors]

1. Primigravida under 19 years. 6. Diabetes.

2. Low socioeconomic status. 7. Multiple gestations.

3. History of sever pre-eclampsia. 8. Chronic

hypertension.

4. Familial history. 9. Hydatidiform mole.

5. Rh incompatibility.

Pathophysiological changes result from preeclampsia: -

1. Uteroplacental insufficiency: -

This related to spiral arteriole lesions and a deficiency of

prostacyclin, [vasodilator] this lead to constriction of umbilical

vessels, which leads to decrease fetal blood flow.

2. Kidney damage: - (Occurs in 70 % of cases)

• Glomerular endothelial damage. -Fibrin
deposition.

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