Preeclampsia (pre-e-CLAMP-si-a) is a condition that occurs during pregnancy and is characterized by high blood pressure. It occurs in five to eight percent of pregnant women in the United States. According to the Preeclampsia Foundation, the condition is diagnosed based on the elevated blood pressure of the expectant mother generally after 20 weeks of pregnancy or during the postpartum period with proteinuria (protein in the urine).
Other symptoms include elevated liver functions or decreased blood platelets and issues with the kidneys (decreased urine output) and/or fluid in the lungs (edema). Other symptoms include abdominal pain, nausea, and vomiting, headaches, shortness of breath, confusion, burning behind the sternum, and/or visual sensitivity, including oversensitivity to light or blurred vision. These symptoms are presented in more detail below.
Women struggling with chronic hypertension, obesity, certain metabolic diseases like diabetes, and who are over the age of 35 are more at risk, as well as those with deficiencies in essential nutrients and minerals (like low calcium). Obesity can be controlled by the current standards of MyPlate from the United States Department of Agriculture: half fruits and vegetables, half grains, and protein with a small serving of dairy on the side. It’s best to cut back on processed sugars and foods and avoid caffeine and alcohol.
Sometimes there are no symptoms of preeclampsia, or they can be written off as typical pregnancy pains. Even when there are no symptoms, the following tests are critical at your regular check-ups: blood pressure checks, weigh-in, and urine dip. It’s essential to keep up with your medical appointments, particularly after you hit the 20-week mark of pregnancy.
Talk with a medical professional before taking any supplements, whether they are herbal or not.
Women at risk for preeclampsia may have the following:
Preeclampsia will cause your blood pressure to spike and put you at risk for severe medical complications such as neurological/brain injury, impaired kidney and liver function, blood clotting problems, excess fluid in the lungs (called pulmonary edema) and seizures. In severe forms or left untreated, preeclampsia can lead to maternal and/or infant death. This is why regular medical check-ups are crucial to monitoring your pregnancy.
An estimated 15 percent of pregnant women with preeclampsia may experience HELLP Syndrome, a life-threatening pregnancy complication. It occurs in four to 12 percent of women who have preeclampsia. The name stands for hemolysis (the breaking down of red blood cells), EL (elevated liver enzymes), and P (low platelet count). The morbidity rate around the world is as high as 25 percent, with a maternal mortality rate of 1.1 percent. That rate is much higher for the baby, and the risks also include low birth weight and fetal death. Symptoms include headache, nausea/vomiting/indigestion with pain after eating, bleeding, vision changes, shoulder pain or pain associated with deep breaths, swelling, and abdominal or chest tenderness and upper right side pain.
Preeclampsia can happen at any time during pregnancy and even up to six weeks post-partum. Still, the most common time is during the final trimester and generally resolves within 48 hours of delivery. The condition can be diagnosed at any time and found during a routine test like a blood pressure check or urine dip. If you are diagnosed with the condition early in your pregnancy, your medical care provider may recommend bed rest, time off work, medication, and hospitalization to control your blood pressure. If the medical provider is unable to control your blood pressure via medical treatment, and the mother’s and/or baby’s health is at risk, the doctor may prescribe steroids to lessen the severity of premature lung development if delivery is anticipated before 37 weeks gestation.
Preeclampsia can occur post-partum as late as 4-6 weeks and can be severe for the mother. Almost 14 percent of maternal deaths are related to hypertensive disorders such as preeclampsia before, during, and after pregnancy. Any signs and symptoms described earlier should be brought to your healthcare provider to be sure you do not have preeclampsia.
Preeclampsia can cause babies to be born prematurely, which is considered anytime before the 37-week mark, or if born before 32 weeks, there may be more severe issues related to prematurity. Problems related to prematurity include respiratory distress, feeding problems, increased risk of infections, and bleeding inside the skull (known as intracranial hemorrhage). These problems may create short-term issues that will resolve before the baby leaves the Neonatal Intensive Care Unit (NICU), or they may be lifelong disabilities such as blindness, seizures, learning disabilities, and cerebral palsy. Women with preeclampsia have 4.5 times the risk of delivering a stillborn baby than a woman who does not have preeclampsia.
The only cure for preeclampsia is the mother delivering the baby. The condition can escalate quickly if there are delays in diagnosing preeclampsia, and it progresses into severe preeclampsia, which can lead to possibly life-threatening complications for the mother and/or baby. It must be monitored carefully by a health professional. There are medications and treatments to prolong pregnancy, so the baby has time to develop. Sometimes, the baby must be delivered at any time during the pregnancy to save the mother and/or baby’s life. Key prevention measures include improving your diet, maintaining a healthy weight, and controlling chronic hypertension and diabetes.
A mother who had preeclampsia during her first pregnancy is 20 percent more likely to experience it during later pregnancies. The severity and time of the condition during your prior pregnancy will determine your risk factors, so it’s critical for a healthcare professional to closely monitor you and your baby for signs and symptoms of preeclampsia. Even if you’ve had a second pregnancy without preeclampsia, but had it in your first, you can still be at risk.
The American College of Obstetricians and Gynecologists recommend looking at your potential risk factors, including having hypertension, before becoming pregnant. It’s best to go to your doctor for a pre-pregnancy check-up to see if your hypertension is adversely affecting your health or could affect your pregnancy. Being overweight is another risk factor, and you may have to lose weight before becoming pregnant. If you have a medical condition such as diabetes, it’s recommended to get your condition under control before becoming pregnant.
According to the U.S. Preventative Services Task Force (USPSTF) for the Agency for Healthcare Research and Quality (AHRQ), pregnant women at high risk for preeclampsia should think about taking a low dose aspirin starting as early as the second trimester of pregnancy to possibly prevent the negative effects of potential preeclampsia. Studies with relatively large sample sizes in this review found an up to 5 percent risk reduction rate in preeclampsia.
Whether you have had preeclampsia, are considering becoming pregnant again, or are becoming pregnant for the first time, it’s critical to consult a healthcare professional. If you are diagnosed with preeclampsia, the doctor or healthcare provider will be able to monitor your symptoms and hopefully mitigate the negative consequences before they become severe.
Leaving your health to chance can mean the difference between being a part of your child’s life and potentially not, or succumbing to preeclampsia complications and being unable to do the things you once could, including taking care of your newborn baby.
You can ask your doctor any of the following questions in this FAQ, including: