Pregnancy Induced Hypertension (PIH) PDF

Pregnancy Induced Hypertension (PIH)  Pregnancy induced hypertension is still one of the most common causes of maternal and prenatal mortality and morbidity. It is characterized by vasospasm that leads to poor perfusion of many vital organs including the feto/placental un...

Pregnancy Induced Hypertension (PIH)  Pregnancy induced hypertension is still one of the most common causes of maternal and prenatal mortality and morbidity. It is characterized by vasospasm that leads to poor perfusion of many vital organs including the feto/placental unit. ‫ ص‬08:29 16/12/2024 Dr/ Hanan Elsayed  Pre-eclampsia and eclampsia are two categories of pregnancy induced hypertension. The HELLP syndrome is a severe sequel of pregnancy induced hypertension. ‫ ص‬08:29 16/12/2024 Dr/ Hanan Elsayed  Classifications Pre-eclampsia. Severe pre-eclampsia. Eclampsia. ‫ ص‬08:29 16/12/2024 Dr/ Hanan Elsayed  Incidence 5-7% of all pregnancies. If a woman has chronic hypertension, she has a 25 to 35% risk of developing PIH ‫ ص‬08:29 16/12/2024 Dr/ Hanan Elsayed  Prenatal Factors Increasing the Risk of PIH Primigravida. Low socioeconomic status. Grand multigravidit. Diabetes mellitus. Essential hypertension Obesity. Family history of hypertension or vascular Malnutrition. disease. Age (under 17 or over 35 Diagnosis of PIH in years old). previous pregnancy Underweight or overweight. ‫ ص‬08:29 16/12/2024 Dr/ Hanan Elsayed  Pre-eclampsia: Hypertension: 140/90 Proteinuria: 300mg or more in 24h Edema: greater than I pitting edema after 12 hour bed rest or weight gain of 2.3kg or more in one week or both after 20 week of gestation ‫ ص‬08:29 16/12/2024 Dr/ Hanan Elsayed  Severe pre-eclampsia Blood pressure:160/110 Proteinuria 5 g in 24 hour urine collection Oliguria: less than 700 to 800 ml in 24 hours or