Find out more about pregnancy poisoning!

Find out more about pregnancy poisoning!

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Pregnancy poisoning is one of the most important pregnancy complications related to pregnancy and may threaten the health and even life of both mother and baby and is called preeclampsia. Gynecology and Obstetrics Specialist Alper Mumcu talks about those who are curious about the subject:

Preeclampsia is hypertension that occurs after 20 weeks of pregnancy and is associated with protein excretion and / or edema in the urine. In preeclampsia, it is divided into 4 classes as mild, moderate, severe preeclampsia and arthritis. The incidence of preeclampsia is around 10%, whereas severe preeclampsia is 1%. The most severe form of arthroplasty occurs in one of 1,000 pregnancies.

Two thirds of the patients experience their first pregnancy. Patients with a history of preeclampsia, systemic disease such as diabetes, kidney disease, very young or over 35 years of age, multiple pregnancies, and obstetric problems such as mole pregnancy, etc. are at risk for preeclampsia. It is not possible to determine in advance whether preeclampsia will develop in the future as the cause is not known, but studies are ongoing.

Due to the damage in the kidney drainage system, protein loss begins in the urine, resulting in edema. Edema is not a criterion alone. Edema is not detected in women with preeclampsia up to 40% while it can be detected in 30% of normal pregnant women. If a woman with preeclampsia is found to have convulsions and seizures in the form of epileptic seizures, this is called the most severe form of preeclampsia. Swelling of hands and feet and narrow rings are the most common complaints. Especially when you wake up in the morning, swelling of the face and eyelids may be the first symptom.

High blood pressure can cause maternal contractions, hemorrhage and blindness. Kidney failure may occur due to damage to the kidneys. Bleeding may occur between the liver and the surrounding membrane, which can cause rupture of the liver. Sudden increases in heart load can result in heart failure. Pulmonary edema may accompany the picture. Again, a fatal condition called disseminated intavavascular coagulation may be seen due to clotting disorder in maternal blood.

The most common problem in infants is developmental delay. Developmental retardation is detected in approximately 55% of infants born from women with severe preeclampsia. Preterm delivery is more common in such mothers. Infant deaths are not uncommon as a result of untimely separation of the infant's spouse.

The underlying causes of preeclampsia have not been fully elucidated. Many researches are going on all over the world both for the cause and prevention of this situation and new information is gathered with each passing day.

In 1990s, it was suggested that the reason triggering the condition may be related to oxidation due to the detection of free oxygen radicals in the circulation of these patients and it was claimed that antioxidants such as vitamin E could prevent the emergence of the disease.

However, a very large-scale study, published in recent weeks, showed that the situation was not as expected. The aim of this study, which included more than 10,000 women in the United States, was to determine whether vitamin C and E supplementation, which began in early pregnancy, reduced the risk of pregnancy-related high blood pressure in pregnant women of average risk.

Contrary to previous studies with a small number of patients who have suggested that this vitamin supplementation may be beneficial, the results of this study, published on April 8, clearly demonstrated that taking vitamin C and E does not reduce the risk of pregnancy-related high blood pressure. In the study, 5000 women who were pregnant with their first babies were given 1000 milligrams of vitamin C and 400 IU of vitamin E daily, and 5000 women with the same characteristics were given placebo without any active substance.

As a result, there was no difference between the two groups in terms of high blood pressure development rates. Scientists in the study stated that these results should not be interpreted as pregnant women should stop taking daily vitamins, on the contrary, it may be beneficial to take vitamins produced for pregnant women.

High blood pressure due to pregnancy is a very important part of maternal deaths. Especially in developing countries like us, the most effective method to prevent such situations is to go for regular checks during pregnancy and to follow your doctor's recommendations. Preeclampsia is not as fearful as it is thought to be under surveillance.

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