Pregnancy toxicity

Pregnancy toxicity's disease overview

What is

What is pregnancy toxicity?

Pregnancy toxicity is a separate pathological condition of women during pregnancy, appearing in the first and third quarter of pregnancy with different manifestations. To understand the pregnancy toxicity is dangerous , first of all the patient needs to know what toxicity is like.

This is a disease caused by the disorder of the mother's blood vessels, including peripheral blood vessels and organs such as liver, kidney, uterus, brain. The consequence of this phenomenon is anemia that nourishes the mother's organs and the placenta, causing many serious complications for both pregnancy and mother. Pregnancy toxicity is always ahead in most cases of shock, a serious complication that usually occurs during the last 3 months of pregnancy with a very high mortality rate. Children born from a mother who is poisoned with pregnancy are often mild, underdeveloped compared to the age of gestational and prone to suffocation after birth.

Symptoms of pregnancy toxicity stand out in the first 3 months of pregnancy are severe morning sickness, pregnant women often vomit morning sickness, poor eating. On the other hand, symptoms of pregnancy toxicity in the last 3 months of pregnancy are edema, hypertension, protein appear in urine, ... The cause of pregnancy toxicity is still unknown, so the treatment of infection Pregnancy still has many difficulties.

The term "pregnancy toxicity" is meant to refer to the process of pregnancy toxicity on the body of a pregnant woman. This term is currently no longer used as before, replaced by the term "Hypertension of pregnancy, shock-shock".

Causes of Pregnancy toxicity's disease

Causes of pregnancy toxicity unknown. Any assumption related to pregnancy toxicity is given that toxicity often occurs in women with the following characteristics. :

First pregnancy

There are large biscuits with a lot of hair cells like in twins or eggs

Active inflammation of endothelial blood vessel cells such as diabetes, obesity, cardiovascular disease, kidney disease, autoimmune pathology.

Whatever the cause, toxic toxicity features the destruction of the system of endothelial blood vascular cells with phenomena such as vasoconstriction Blood, plasma leaks, anemia and thrombosis.

Symptoms of Pregnancy toxicity's disease

Symptoms of pregnancy toxicity The difference in the first and third quarter of pregnancy. Symptoms of pregnancy toxicity in the first quarter of pregnancy:

Signs of Pregnancy toxicity stand out at this period of morning sickness. During pregnancy, many women often show signs of morning sickness. Pregnant women often experience symptoms of nausea, vomiting, sensitive to the smell of food. Excessive morning sickness in pregnancy toxicity makes women tired, do not want to eat, nausea and vomit more than other pregnant women. This lasts will cause fatigue, ineffective weight gain or even weight loss, a lot of photos for the health of the fetus.

morning sickness usually appears when pregnant is 1 month and lasts until the end of the first quarter. After that, morning sickness symptoms may decrease and then go away when the fetus is greater. In cases of pregnancy toxicity worse, pregnant women face symptoms of morning sickness earlier with more severity. Slim, weight loss is a warning sign for a high risk pregnancy.

Symptoms of pregnancy toxicity in the third quarter of pregnancy:

In the last 3 months of pregnancy, signs of suggesting pregnancy toxicity become more diverse, including:

edema: usually appears in the lower limbs with a concave soft edema characteristics. The patient can identify this symptom by themselves when they see the two limbs under swelling, the ankles are filled with the ankles. Pregnant women pressed on the front of the lower leg or ankle to see the concave, which means there are symptoms of edema. In severe cases, pregnant women may appear on the face and both hands. Distinguish with the symptoms of the lower limb edema due to the pinched uterus, do not allow the blood to return to the heart by letting pregnant women lie on their left side and two legs high. If the symptoms do not disappear, see a doctor because edema may be caused by pregnancy toxicity . Pregnant women with pregnancy are pinched. In pregnancy toxicity , the vacuum is reduced after rest. The phenomenon of edema not only appears under the skin but also in the internal organs, water escapes in the interstitial space, causing symptoms of headache, dizziness, abdominal pain, ...

Fast weight gain: called rapid weight gain when in the last 3 months of pregnancy, each week pregnant women gain more than 0.5 kilograms due to water retained in the body. At that time, the doctor will order urine tests to quantify protein. If proteinuria> 0.3g/l, pregnant women are diagnosed with pregnancy toxicity and careful monitoring. The more proteinuria, the worse the poisoning.

Hypertension: is defined when pregnant women's blood pressure is measured over 140/90 mmHg or when the maximum blood pressure increases at least 30mmHg and/or minimum blood pressure. At least 15mmHg compared to blood pressure before pregnancy. Along with edema and proteinuria, hypertension is a common sign of pregnancy toxicity. Depending on the level of pregnancy toxicity, the patient may have only one of the three symptoms, or all three symptoms.

small urine: The amount of urine is decreasing compared to before. The more edema, the less the pregnant woman.

Pregnancy toxicity If not treated well will lead to dangerous complications such as pre -eclampsia and eclampsia.Pre -eclampsia, in addition to the symptoms of pregnancy toxicity , patients also experience symptoms such as dizziness, headache, blurred vision, abdominal pain, high proteinuria, sometimes> 0.5g/l. At this time, pregnant women need to be hospitalized. The determination of accurate gestational age and termination of pregnancy at the right time plays a prerequisite in the treatment of the disease. Pre -eclampsia is not closely monitored and treated properly will lead to jerking.

Producing

is the most serious complication of pregnancy toxicity with a high mortality rate for mothers and children. The snatching usually occurs in women who give birth. Pregnant women have strong body convulsions and then all spasms, head curved back, eyes and then look upwards, then switch to fast shaking state, convulsions on the face, limbs, foaming The edge, apnea then twitch gradually and turn to coma. With a strong convulsions, patients may bite their tongue causing bleeding or suffer from injury from the bed. The stage of muscle contraction and muscle relaxation occurs alternately, and may last for a few minutes. Producing patients often die in the context of heart failure, pulmonary edema, cerebral infarction.

Can divide the product into 3 types, depending on the time of appearance:

Property before birth: usually occurs in the last months of pregnancy, after 30 weeks. The fetus often dies, if luck is born, the fetus is usually premature.

Producing during labor: is an indication of emergency cesarean section.

Production after birth: usually occurs a few hours after birth. Need to transfer women to medical facilities with sufficient authority and capacity to treat.

People at risk for Pregnancy toxicity's disease

Causes of pregnancy toxicity have not been well known, but there are many factors that are determined to increase the risk of pregnancy toxicity in pregnant women. Some factors are listed below:

Pregnant women and pregnant children: This is the object of toxic toxicity than the woman who has been pregnant many times before. The rate of pregnancy toxicity in women gives birth about 3-10% while in women, the children have only about 1.4-4%.

Race: Black women have a higher incidence of disease

Cold weather, changing seasons.

Frequent fatigue, overwork during pregnancy.

Obesity, BMI> 30

Use allergenic foods.

Medical diseases such as stomach ulcers, chronic kidney failure, diabetes, cardiovascular disease.

Systemic diseases such as systemic lupus, phospholipid syndrome.

Pregnant son has a higher incidence even though the difference is not much.

History of pregnancy toxicity at the previous pregnancy.

Pregnant women with a history of cardiovascular disease, hypertension, glomerulonephritis, fatty pregnant women, double pregnancy, many amniotic fluid, diabetes .. >

Prevention of Pregnancy toxicity's disease

Causes pregnancy toxicity is not clear so there is no effective preventive measure. Pregnant women need to go to the prenatal checkup periodically and report to the doctor when there are abnormal signs of the best plan.

Another important issue is to prevent complications in pregnant women who have been diagnosed with pregnancy toxicity. Some measures to help prevent product shock complications:

Pregnant women need to be closely monitored and managed pregnancy well: Go to the doctor on time, see a doctor right after detecting abnormal problems

Switch to a higher route if pregnant women are found to be edema, hypertension at the medical station

Fully eaten nutrients

Obery of a doctor's treatment when diagnosed with pregnancy toxicity

Diagnostic measures for Pregnancy toxicity's disease

Based on clinical symptoms such as lower limbs, hypertension, rapid weight gain, the doctor will appoint a protein quantitative urine test to diagnose pregnancy toxicity.

In addition, some other tests are also indicated to assess the severity of the disease, if the disease has complications or not as:

Blood formula: Note the number of platelets

liver enzymes

Kidney function: urea, blood creatinine

Abdominal ultrasound

Pregnancy toxicity's disease treatments

Principle of treatment of pregnancy toxicity must include protecting the health of both mother and fetus. Treatment measures include:

Treatment of non -drug treatment: diet, healthy eating, limiting salt, limiting stress, not working hard.

Drug treatment: Doctors often prescribe two groups of diuretics and antihypertensive drugs to control two symptoms of edema and hypertension. Sedative and anti -convulsions such as magnesium sulfate are used to prevent and treat pre -eclampsia.

In addition, when toxicity is toxic advancing to pre -eclampsia or shock, the termination of pregnancy to take the fetus out is a method Thoroughly treat. Before that, the mother and the fetus will be comprehensively evaluated.

See also:

too heavy morning sickness, what to eat?

Morning sickness: Nausea and vomiting during pregnancy will start?

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