Preeclampsia (toxemia of pregnancy)
About Preeclampsia (toxemia of pregnancy)
Preeclampsia (toxemia) is a condition of pregnancy marked by high blood pressure, protein in the urine, and swelling of the feet and hands during pregnancy. Eclampsia is preeclampsia with the added symptom of a seizure and rarely death. Preeclampsia and eclampsia is seen after the 20th week of pregnancy. The following increase the risk of having preeclampsia and eclampsia: teenage pregnancy, previous history of preeclampsia, obesity, carrying more than one baby (twins, triplets), having high blood pressure, age greater than 35 during pregnancy, and being of African American descent.Symptoms
During pregnancy, headache, upper abdominal pain, blurred vision, nausea, vomiting, leg swelling, hand swelling, sudden weight gain.Tests & Diagnostics
A history and physical exam will be performed. Blood pressure and urine protein is monitored very closely during pregnancy to detect this condition. If this condition occurs, blood tests are done to identify possible problems of high uric acid, elevated liver function tests, low platelets and renal failure.Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), Urinalysis (UA), Ultrasound.
Prescription medications
Conventional treatment summary
Treatment includes intravenous magnesium and blood pressure control with various medications. Delivery of the baby ends this condition, so cesarian section or induced labor can be used as a cure if the baby is old enough to be delivered safely.Medical specialties
Obstetrics and Gynecology
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Preeclampsia (toxemia of pregnancy).