Pre Eclampsia (or pre-eclamptic
toxaemia - PET) is an
illness that affects
only pregnant women, and
their unborn children.
Up to one in ten
pregnancies are affected
by Pre Eclampsia, which
makes it the most common
serious complication of
pregnancy.
What is it?
Pre Eclampsia can occur
at any time in the
second half of pregnancy
and usually without the
woman feeling any
symptoms.
Regular medical checks
during pregnancy are
important to catch Pre
Eclampsia as it shows as
high blood pressure and
with protein in the
urine.
Other symptoms and signs
of Pre Eclampsia include
persistent headaches,
sudden swelling of
hands, face and feet,
blurred vision and lover
dysfunction.
Without treatment, Pre
Eclampsia will develop
into Eclampsia which
causes convulsions on
the mother and is
usually fatal. Aruond
the world, over 50,000
mothers die each
year from Eclampsia.
Who gets it?
Obviously, only pregnant
women are vulnerable to
Pre Eclampsia. And first
time mothers are more
likely to develop the
illness than other
pregnant women - in
fact, all first time
mothers are treated as
high risk for Pre
Eclampsia.
Teen mothers and mothers
over 35 years are at
greater risk than women
in their 20s and early
30s.
Women with a previous
instance of Pre
Eclampsia or a family
history of it may also
get Pre Eclampsia in
subsequent pregnancies.
Women with chroinc
medial conditions such
as hypertension, kidney
disease, diabetes and
lupus are also at
greater risk for a
repeat of Pre Eclampsia.
It is rare that any
woman develops Pre
Eclampsia in subsequent
pregnancies if her first
pregnancy didn't involve
Pre Eclampsia.
How is it treated?
The only cure for Pre
Eclampsia is delivery of
the baby and placenta.
Thus, most women with
Pre Eclampsia will
deliver a premature
baby.
There are medications to
reduce blood pressure
and patients are ordered
to rest. However, the
disease will continue to
progress until the baby
is delivered so delivery
as soon as possible is
the best outcome.
Once the woman shows
significant protein in
her urine and has had
high blood pressure
persistently, she is
likely to be
hospitalised and not
released until after the
birth.
If the mother can be
stabilised, she may be
given drugs to help the
baby mature faster to
reduce the impact of the
premature birth.
In most cases, the
mother will be healthy
once the baby is born,
although a small number
may get some long term
organ damage from Pre
Eclampsia.
How does it affect the
baby?
The baby of a Pre
Eclampsia patient may
grow slowly and
therefore be born
underweight or
experience a potentially
harmful oxygen
deficiency in utero.
Unless the baby has
severe or prolonged lack
of oxygen and nutrition,
the child will not have
long lasting effects
from the Pre Eclampsia.
Pre Eclampsia results in
many premature births
and this can have
serious implications for
the baby.
Up to 200 babies die in
Australia each year from
Pre Eclampsia issues and
the majority relate to
premature birth
problems.
Can Pre Eclampsia be
prevented?
The best action for
pregnant women is to
have regular check ups
with a doctor or
midwife. Then Pre
Eclampsia can be caught
early and dealt with.
Women at particular risk
of Pre Eclampsia may
wish to discuss this
with a doctor before
getting pregnant, and to
see a specialist during
their pregnancy for
their routine checks.