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Home > Help Desk > Health Concern > Section P > Preeclampsia

Preeclampsia

Preeclampsia is defined as the combination of high blood pressure (hypertension), swelling (edema), and protein in the urine (albuminuria, proteinuria) developing after the 20th week of pregnancy. Preeclampsia ranges in severity from mild to severe; the mild form is sometimes called proteinuric pregnancy-induced hypertension or proteinuric gestational hypertension.

Women with even mild preeclampsia must be monitored carefully by a healthcare professional. Hospitalization may be necessary to enable close observation.

The cause of preeclampsia is unknown, although several factors have been shown to contribute. Preeclampsia is more common in women during their first pregnancy, as well as in women who are obese, who have diabetes, or who have gestational hypertension. Women who have had preeclampsia during a previous pregnancy are also at increased risk. Preeclampsia has also been associated with calcium deficiencies, antioxidant deficiencies, older maternal age, and job stress.

What are the symptoms of preeclampsia?
Symptoms, which typically appear after the 20th week of pregnancy, include swelling of the face and hands, visual disturbances, headache, and high blood pressure. In severe preeclampsia, symptoms are more pronounced. Jaundice may also be present. Severe preeclampsia may lead to seizures (eclampsia) and may cause death to both mother and fetus if left untreated. Like eclampsia, severe preeclampsia is a medical emergency requiring hospitalization.

How is it treated?
Conventional treatment for preeclampsia includes strict bed rest, maintenance of normal salt intake, medicines to reduce high blood pressure, and possibly hospitalization for observation. The definitive conventional treatment of preeclampsia is induced delivery or cesarean section.

Dietary changes that may be helpful:
Unlike other conditions that cause high blood pressure, salt restriction and use of diuretics can worsen preeclampsia by reducing blood flow to the kidneys and placenta. In preeclampsia, unrestricted use of salt and an increased consumption of water are needed to maintain normal blood volume and circulation to the placenta.

Lifestyle changes that may be helpful:
Regular prenatal care is essential for the prevention and early detection of preeclampsia.

Job stress (lack of control over work pace and the timing and frequency of breaks) may be detrimental, and reducing job stress may be beneficial in the prevention of preeclampsia.

For women with preeclampsia, obstetricians and midwives often recommend bed rest and lying on the left side; this position helps reduce edema and lower blood pressure by increasing urinary output.

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