Eclampsia and Preeclampsia: A Major Challenge in Pregnancy

Eclampsia and preeclampsia are serious complications that can significantly impact the health of both the mother and the baby during pregnancy. While they are not as common as other pregnancy issues, their potential severity makes them a critical concern for expectant mothers and healthcare providers.

Eclampsia is a serious and rare condition characterized by seizures in pregnant individuals with preeclampsia. Symptoms of eclampsia include high blood pressure, headaches, blurry vision, and convulsions, typically occurring in the second half of pregnancy.

Preeclampsia is a pregnancy disorder marked by high blood pressure and protein in the urine (proteinuria). Eclampsia develops when preeclampsia progresses to seizures. Women with a history of high blood pressure and preeclampsia are at increased risk of recurrence in subsequent pregnancies, leading to significant anxiety about their health and the health of their baby.

Research indicates that a primary cause of preeclampsia is the excess production of the protein sFLT1 by the placenta, which enters the mother’s bloodstream. Understanding the risks and symptoms of preeclampsia and eclampsia is crucial for early detection and management. Regular prenatal check-ups, blood pressure monitoring, and urine tests are essential for identifying and addressing these conditions promptly. Emotional support and accurate information can help alleviate the fears and anxieties associated with these conditions.

I first heard of preeclampsia when I was 35 weeks pregnant. My gynaecologist advised an urgent delivery due to skyrocketing blood pressure and proteinuria. Fear and confusion took over, with questions about my baby’s and my own survival. Worrying only worsened my blood pressure.

I underwent a caesarean section and both my baby and I were initially fine, although my baby was taken to the NICU due to being preterm and having a low birth weight of 1.4kg. Despite the delivery, my anxiety persisted about my baby’s survival and future health. My blood pressure remained high, and I struggled to relax, especially after witnessing another mother’s loss in the NICU.

Preeclampsia typically starts around 20 weeks of pregnancy and involves high blood pressure and proteinuria. Severe cases can lead to complications like the breakdown of red blood cells, low platelet counts, impaired liver and kidney function, and fluid in the lungs. The only definitive treatment for severe preeclampsia is the delivery of the baby and placenta.

 

Navigating pregnancy with the risks of preeclampsia and eclampsia can be daunting, but understanding these conditions and receiving proper medical care can make a significant difference. For those affected, it is crucial to stay informed, maintain regular medical check-ups, and seek support from healthcare providers. By focusing on early detection and management, we can improve outcomes for both mothers and their babies, ensuring a healthier and safer pregnancy journey.