Posts Tagged ‘preeclampsia’

Preeclampsia: Impact on mom and baby

Wednesday, June 21st, 2017

May was Preeclampsia Awareness Month. We blogged about the signs, symptoms and causes of preeclampsia and how it may lead to premature birth. We also hosted a Twitter chat with Dr. Kjersti Aagaard of Texas Children’s Pavilion for Women, which generated some follow-up questions.

We’re happy to welcome back Dr. Aagaard and her colleague Dr. Martha Rac as guest bloggers. Both doctors are maternal-fetal medicine specialists at Texas Children’s. They will share some insight into who is most at risk of developing preeclampsia and how it can impact both mom and baby.

First, we must ask, who is at the highest risk for developing preeclampsia?

 Risk factors for preeclampsia include:

  • First time mothers
  • Pregnancy with a new partner than previous pregnancies – different partners may have varying genetic factors that may increase preeclampsia risk
  • Older mothers (>35 years old)
  • Black women
  • Medical problems including chronic high blood pressure, kidney disease, lupus, diabetes and heart disease
  • Pregnancies with multiples (twins, triplets, etc.)
  • Obesity
  • Preeclampsia in prior pregnancies
  • IVF pregnancies – particularly those with donor eggs. This is thought to occur as a result of genetic differences between the mother and fetus, causing the mother’s immune system to attack the “foreign” fetal tissue and cause excess inflammation.

In addition to the risk factors above, mothers with pregnancies spaced too closely together or very far apart can be at risk. Too close may be defined as 18 months or less and far apart as 4-5 years between pregnancies.

How does preeclampsia affect pregnancy?

Preeclampsia is classified as either mild or severe based on a woman’s symptoms, and how severely it affects her organs. It is a progressive disorder, which means that mild cases will eventually develop into severe preeclampsia, if not treated.

Preeclampsia can be very dangerous to both the mother and the baby. The very high blood pressure associated with preeclampsia can result in anything from seizures, stroke, liver and kidney dysfunction, bleeding problems, placental detachment and even death if left untreated.

If a mother-to-be suspects she may be experiencing preeclampsia, she should contact her doctor immediately.

How does preeclampsia impact the baby?

 This dangerous disorder can cause the baby’s growth to be restricted and increases the risk of stillbirth. In the most severe cases, preterm delivery may be required which may then expose the baby to the complications of prematurity such as under-developed organs, breathing difficulties, jaundice, anemia, a lowered immune system, etc.

In the worst cases, fetal death can occur from a sudden detachment of the placenta from the uterus.

For these reasons, women diagnosed with preeclampsia undergo additional monitoring such as: ultrasounds every 4 weeks to evaluate fetal growth, lab work to determine if there is multi-organ involvement, etc. and delivery no later than 37 weeks.

If you are worried you are at risk of developing this dangerous disorder, please be sure to consult with your doctor and discuss your concerns immediately.

Dr. Kjersti AagaardDr. Martha Rac

 

 

 

 

 

 

Many thanks to Dr. Aagaard  (left) and Dr. Rac  (right) for contributing their expertise. 

If you have questions, send them to AskUs@marchofdimes.org.

 

 

Preeclampsia can lead to premature birth

Friday, May 26th, 2017

woman with physicianPreeclampsia is a serious health problem for pregnant women around the world. It affects 2 to 8 percent of pregnancies worldwide and is the cause of 15 percent (about 1 in 8) of premature births in the United States. Women with preeclampsia are more likely than women who don’t have preeclampsia to have preterm labor and delivery. Even with treatment, a pregnant woman with preeclampsia may need to give birth early to avoid serious problems for her and her baby.

What is preeclampsia?

Preeclampsia is when a pregnant woman has high blood pressure and signs that some of her organs, like her kidneys and liver, may not be working properly. This condition can happen after the 20th week of pregnancy or right after birth. Preeclampsia can be a serious medical condition. Without medical treatment, preeclampsia can cause kidney, liver and brain damage. It can also cause serious bleeding problems. In rare cases, preeclampsia can become a life-threatening condition called eclampsia that includes seizures. Eclampsia sometimes can lead to coma and even death.

Know the signs and symptoms:

  • Severe headaches
  • Vision problems, like blurriness, flashing lights, or being sensitive to light
  • Pain in the upper right belly area
  • Nausea or vomiting
  • Dizziness
  • Sudden weight gain (2 to 5 pounds in a week)
  • Swelling in the legs, hands, and face

If you have any of these signs or symptoms, contact your prenatal care provider right away.

Preeclampsia can develop gradually, or have a sudden onset, flaring up in a matter of hours. You can also have mild preeclampsia without symptoms. It’s important that you go to all of your prenatal care visits so your provider will measure your blood pressure and check your urine for protein.

How is preeclampsia treated?

The cure for preeclampsia is the birth of your baby. Treatment during pregnancy depends on how severe your preeclampsia is and how far along you are in your pregnancy. Even if you have mild preeclampsia, you need treatment to make sure it doesn’t get worse. Treatments may include medications to lower blood pressure, corticosteroids or anticonvulsant medications to prevent a seizure.  If not treated, preeclampsia can cause complications during pregnancy and result in premature birth.

What causes preeclampsia?

We don’t know what causes preeclampsia, but you may be more likely than other women to have preeclampsia if you:

If your provider thinks you’re at high risk of having preeclampsia, he may want to treat you with low-dose aspirin to help prevent it. Talk to your provider to see if treatment with aspirin is right for you.

Have questions? Text or email AskUs@marchofdimes.org.

Headache? Nausea? Could be more serious then you thought

Wednesday, May 3rd, 2017

2014d037_1495We receive many questions from expectant moms who are experiencing symptoms such as headaches or swelling. They worry it might be something serious, like preeclampsia.

Preeclampsia is a kind of high blood pressure some women get after the 20th week of pregnancy or after giving birth.  Along with high blood pressure, a pregnant woman can have signs that some of her organs, like her kidneys and liver, may not be working properly.

Signs and symptoms of preeclampsia include:

  • High blood pressure
  • Protein in the urine
  • Severe headaches
  • Changes in vision, like blurriness, flashing lights, seeing spots or being sensitive to light
  • Pain in the upper right belly area or pain in the shoulder
  • Nausea or vomiting
  • Dizziness
  • Sudden weight gain (2 to 5 pounds in a week)
  • Swelling in the legs, hands and face
  • Trouble breathing

Without treatment, preeclampsia can cause serious health problems for both you and your baby. The condition can cause kidney, liver and brain damage for you and premature birth, intrauterine growth restriction (IUGR) or low birthweight for your baby.

Many of the signs and symptoms of preeclampsia are just normal discomforts of pregnancy.

So how do you know if your symptoms are a sign of something more serious?

Your health care provider can diagnose preeclampsia by measuring your blood pressure and checking your urine for protein – both of these are routinely checked at every prenatal care visit.

If you are diagnosed with preeclampsia, your provider can help you manage most health complications through regular prenatal care. This is why it’s important to go to every appointment, even if you are feeling fine.

So, to know if your severe headache or sudden swelling is cause for concern, reach out to your health care provider. He can determine if your symptoms are normal pregnancy discomforts or something more serious like preeclampsia.

For more details about this serious condition, visit our website.

 

How my baby and I survived preeclampsia

Friday, May 13th, 2016

For Preeclampsia Awareness Month, we are grateful to one mom for sharing her story with us.

In my fight against preeclampsia, I advocated for myself and my baby and ended up saving both of our lives.

It started at about 22 weeks of pregnancy, when I had trouble with my eyes. I started to step down onto an escalator and realized I couldn’t see where one step stopped and the next started. My doctor reassured me that eye changes were normal.

By 24 weeks, more symptoms popped up. I was very itchy, my ankles were swollen and I had trouble breathing when reclining. The nurse told me that was normal.

By 25 weeks, the symptoms increased. I never had the urge to urinate and when I did, it was orangish brown. My ankles were so swollen that I had to lift up the skin to slide on a pair of shoes that were two sizes too big.

I called the doctor’s office and was told that my appointment was in 9 days and they would see me then. I decided to check my blood pressure on my own so I drove to a local supermarket and checked my blood pressure at the pharmacy. It was 180/120. I was shocked! I took it again and got the same results.

Feeling concerned, I drove to the doctor’s office. Within an hour, I was diagnosed with severe preeclampsia (my protein came back at +5) and I was on my way to the hospital for bedrest. I had a seizure within the hour of being admitted in the hospital when my blood pressure reached 240/180.

Two days later, after my 24 hour urine test came back at +19 and I was showing signs of HELLP Syndrome, I was put on mag sulfate and transferred to a new hospital with a high risk OB and an OB-ICU. More importantly, it was located next door to a hospital with a Level 4 NICU.

Preemie baby due to preeclampsiaUnfortunately, my condition worsened that night and by the next evening I was in liver and kidney failure. An emergency C-section was ordered and my daughter was born a few hours later at just 25 weeks and 5 days. She weighed 1lb, 10 oz and was 13” long.

She went on to spend 90 days in the NICU. She had a PDA ligation, a feeding tube and was vented for a month. She came home on oxygen and with the feeding tube but both were removed within a month of coming home. She is now 14 years old, an 8th grade honors student and a competitive gymnast. She is also an only child.

As for me, I spent another 3 weeks on blood pressure medicine. Ten years later, I was diagnosed with diabetes and required 3 stents in my heart. It was also found that my heart had sustained damage during my pregnancy and was severely underperforming. I went through cardiac rehab and will have to be followed by a cardiologist for the rest of my life. Research shows that women who develop preeclampsia have a much greater risk of heart disease and stroke.

If I have one message to share with all pregnant women, it would be to trust your instincts. If you don’t feel right – go get checked. In my case, it saved both my life and my child’s.

Are you a preeclampsia survivor? We hope you’ll share your story below, to help other moms and babies.

Learn more about the life-long effects of preeclampsia and HELLP syndrome.

Life-long effects of preeclampsia for mom and baby

Monday, May 2nd, 2016

Pregnant couple with doctorPreeclampsia is serious; it affects 2 to 8 percent of pregnancies worldwide. And it’s the cause of 15% of premature births in the U.S.

Preeclampsia is a condition that can happen after the 20th week of pregnancy or right after you give birth. It’s when a pregnant woman has high blood pressure and signs that some of her organs, like her kidneys and liver, may not be working properly. Some of these signs include having protein in the urine, changes in vision and severe headache.

What does this mean for moms?

If a woman had preeclampsia during a pregnancy, she has 3 to 4 times the risk of high blood pressure and double the risk for heart disease and stroke later in life. She may also have an increased risk of developing diabetes. And for those women who have had preeclampsia and delivered preterm, had low-birthweight babies, or had severe preeclampsia more than once, the risk of heart disease can be higher.

These facts are scary, especially since heart disease is the leading cause of death for women. But having preeclampsia does not mean you will definitely develop heart problems, it just means that this may be a sign to pay extra attention to your health.

What about babies?

Women with preeclampsia are more likely than women who don’t have preeclampsia to have preterm labor and delivery. Even with treatment, a pregnant woman with preeclampsia may need to give birth early to avoid serious problems for her and her baby.

Premature babies and low birthweight babies may have more health problems and need to stay in the NICU longer. And some of these babies will face long-term health effects that include intellectual and developmental disabilities and other health problems.

If you had preeclampsia in the past, there are things you can do now to reduce your future risk:

  • Talk to your health care provider. She can help you monitor your health now to reduce your risk for heart disease later.
  • Get a yearly exam to check your blood pressure, cholesterol, weight, and blood sugar levels.
  • Add activity into your daily routine. No need to run laps around the track, though. Here are some tips to help you get moving, whether you are pregnant or not.
  • Stick to the good stuff. Eat from these five food groups at every meal: grains, vegetables, fruits, milk products and protein. Check out our sample menu for creative ideas.
  • Ask your provider if taking low-dose aspirin daily may be right for you.
  • If you are a smoker, quit. Try to avoid second-hand smoke as well. Tobacco can raise blood pressure and damage blood vessels.

Have questions? Text or email us at AskUs@marchofdimes.org.

Getting healthy between pregnancies

Friday, May 8th, 2015

snugglingAre you getting ready to celebrate Mother’s Day? Flowers, handmade cards, and breakfast in bed are all lovely gifts. But one of the most important things that you can do as a mom is to give yourself the gift of a healthy pregnancy. If you are planning to have another baby sometime in the future, start now to make sure that your body is ready.

The interconception period is the time between the end of one pregnancy and the beginning of another pregnancy. This time between pregnancies allows you and your provider to address any risk factors that may have contributed to prior pregnancy complications, including premature birth, preeclampsia or gestational diabetes.

Here are some things to consider during the interconception period:

  • Birth spacing: Before getting pregnant again, it is best to wait at least 18 to 23 months. This gives your body time to recover from the previous pregnancy.
  • Preexisting medical conditions: Diabetes or high blood pressure can affect your pregnancy. Making sure these conditions are under control before you get pregnant again is very important. Now is the time to alter any medication dosages or change prescriptions completely. It is also the time to modify any lifestyle factors that may be contributing to your condition.
  • Weight: Trying to get to a healthy weight before pregnancy is very important. Being overweight or not weighing enough can affect your ability to conceive. And if you’re at a healthy weight before pregnancy, you’re less likely than women who weigh too little or too much to have serious complications during pregnancy.
  • Smoking: When you smoke during pregnancy, you pass harmful chemicals through the placenta and umbilical cord into your baby’s bloodstream. This can cause health problems for your baby. Being exposed to secondhand smoke during pregnancy can cause a baby to be born with low birthweight. And secondhand smoke also is dangerous to your baby after birth. Try to quit smoking before getting pregnant again.
  • Family history: Your family health history can help you and your provider look out for health problems that may run in your family and it may help to find the cause of any past pregnancy problems.
  • Getting enough folic acid: Finally, make sure you continue to take 400 micrograms of folic acid every day. All women of child-bearing age, even if they’re not trying to get pregnant, should take folic acid. Folic acid helps prevent neural tube defects but only if taken before pregnancy and during the first few weeks of pregnancy, often before a woman may even know she’s pregnant. Because nearly half of all pregnancies in the United States are unplanned, it’s important that all women take folic acid every day.

All of us here at News Moms Need wish you a very happy and healthy Mother’s Day!

Questions?  Send them to AskUs@marchofdimes.org.

How preeclampsia affects your baby

Monday, June 2nd, 2014

preemieLast week we reviewed the signs and symptoms of preeclampsia. Today we’ll talk about how preeclampsia can affect your baby.

If you have preeclampsia, your health care provider can help you manage most health complications through regular prenatal care.

Treatment for preeclampsia depends on how severe your preeclampsia is and how far along you are in your pregnancy. Even if you have mild preeclampsia, you need treatment to make sure it doesn’t get worse.

Treatment for mild preeclampsia may include seeing your prenatal care provider more frequently for tests to make sure you and your baby are doing well. You may be able to stay at home and just be monitored.

More severe preeclampsia may require you to be admitted to the hospital or for you to be induced before your due date.

The high blood pressure that is a part of preeclampsia can narrow blood vessels in the uterus (womb) and placenta. The placenta supplies your baby with food and oxygen through the umbilical cord. If the blood vessels in the placenta are narrow, your baby may not get enough oxygen and nutrients, causing him to grow slowly. This can lead to a low birthweight baby, a baby who weighs less than 5 pounds, 8 ounces.

In many cases the only treatment for preeclampsia is the birth of your baby. This may result in your baby being born prematurely, or before 37 weeks of pregnancy.  Although the thought of having a premature baby can be frightening, it is important to remember that most babies of moms with severe preeclampsia before 34 weeks of pregnancy do better in a NICU than if they stay in the uterus.

Premature babies and low birthweight babies may have more health problems and need to stay in the NICU longer than babies born full-term. The earlier in pregnancy a baby is born, the more likely he is to have health problems. Some babies may have complications that can affect them their whole lives. But thanks to advances in medical care, even babies born very prematurely are more likely to survive today than ever before.

Twitter chat on preeclampsia- how it affects you and your baby

Wednesday, May 28th, 2014

texting2Ever wonder why your provider takes your blood pressure and has you pee in a cup at every prenatal visit?  Ever heard of preeclampsia? It is a serious complication of pregnancy that can affect you and your baby. If you are worried about it or have had it, join us tomorrow for our pregnancy chat on Preeclampsia.  We are glad to partner with the Preeclampsia Foundation.

It’s on Twitter tomorrow, May 29th at 1pm ET.  Just follow # PreAM14. Jump into the conversation at any time to ask questions or tell us your experience. We hope to see you then!

Upcoming chats

Monday, May 19th, 2014

woman-on-laptopJoin us on Twitter for two exciting chats that we have coming up very soon.

About 1 out of every 8 women have postpartum depression after delivery. It is not your fault.  On Wednesday, May 21 at 2pm ET we will be joining MomsRising, for their #WellnessWed chat. This week they will be discussing postpartum care and depression. This is an important topic for all new moms and pregnant women as well, so you can learn what to expect after your baby is born. Joining us will be the U.S. Department of Health and Human Services; Katherine Stone, a blogger with the BlogHer network, and Kaiser Permanente.

And on Thursday, May 29 at 1pm ET we will be a guest in a #PreAm14 chat on how preeclampsia affects your baby with the Preeclampsia Foundation. Learn more about this dangerous condition and some of its warning signs. If you have battled with preeclampsia or HELLP syndrome, share your experience, tell us what helped you get through it, what advice you have for other pregnant women.

We hope to see you at both chats!

Could Aspirin help prevent preeclampsia in some women?

Friday, April 11th, 2014

Could Aspirin help prevent preeclampsia in some women? That’s what a panel of experts from the U.S. Preventive Services Task Force is suggesting in this month’s Annals of Internal Medicine. The panel reviewed research and evidence and found that low doses of Aspirin may help prevent preeclampsia in women who are at risk of developing the condition.

Preeclampsia is condition that happens when a pregnant woman has both high blood pressure and protein in her urine. With early and regular prenatal care, most women with preeclampsia can have healthy babies, but it can cause severe problems for moms. Without treatment, preeclampsia can cause kidney, liver and brain damage. It also may affect how the blood clots and cause serious bleeding problems.

No one knows what causes preeclampsia. But some women may be more likely than others to have preeclampsia. Some risks include:
• Having your first baby
• Having preeclampsia in a previous pregnancy
• Having a family history of preeclampsia
• Being pregnant with multiples (twins, triplets or more)
• Being older than 35
• Being overweight or obese

If you’re pregnant and at risk for preeclampsia, talk to your health provider. While the research may be promising, more needs to be done. In the meantime, don’t take any medicine during pregnancy without checking with your health provider first. Learn more about preeclampsia.