Pregnant Brees

Our site has already talked about one of the complications in the early periods of pregnancy - Toxicosis. In most women, this pathological condition passes safely by the 15th week of pregnancy, practically no consequences. But there is another, heaving and dangerous both for a pregnant woman and for the fetus, shape - Gesters. Developing in the second half of pregnancy, prestings violates the physiological flow of food processes, growth and development of the fetus and, often, contributes to premature birth.

Early signs of gestosis

They allocate not in vain. First, to suspect not quite physiological course of pregnancy should gynecologist. Secondly, the woman itself, having any deviations in a state of health before pregnancy, should doubly seriously refer to himself in this important period of life.

So, during each visit to the gynecologist, a woman weighs, measuring blood pressure and check the results of urine and blood test results. These are fast, but very important stages of control over the common state of a pregnant woman. After all, prestal has three main manifestations: persistently increased blood pressure (AD), the presence of a large amount of protein in the urine and swelling. And if the last manifestation of many tend to belong to venous insufficiency or diseases of the cardiovascular system, then ignore high blood pressure or protein in the urine (proteinuria) will not succeed.

The well-being of a woman first broken slightly: dizziness, headaches and even thirst she can attribute to the stuffy work room, because maternity leave begins only with 30 weeks of pregnancy. Gradually, in the absence of medical care, the state may deteriorate. Quite often, women turn with complaints about reducing the activity of the fetus - in the second half of pregnancy, movements must be quite clearly.

Confirmation of diagnosis

As such confirmation is not required - they speak for themselves and «Bad» urine tests with protein content up to several grams (normal amount should not exceed 0.033 g / l), and deterioration of the general state of a pregnant woman, and systolic blood pressure up to 150 mm. RT. Art.

If in the first half of pregnancy, the woman suffered a pronounced toxicosis, then the alertness of the gynecologist is preserved in the second half, since it is the main forerunner of gestosis.

In obstetric practice it is noted that the prestabors are more often developing in pregnant women with large fruit, with multi-way or multiple pregnancies.

Severity of gestosis

Doctors, in turn, highlight several degrees of gravity of gestosis for a faster diagnosis of progression of the state.

1st severity or Light gestosis manifests nephropathy 1st degree and quite quickly passes - just 2-3 weeks. However, nobody canceled treatment in the conditions of separation of pathology of pregnancy.

2nd severity can last up to a month, manifests nephropathy 2th degree and significantly threatens the state of the fetus. Treatment also undergoes under the control of the pregnancy pathology department. And doctors decide the question of the possibility and need to preserve pregnancy or emergency delivery.

Progressive Gestosis does not leave the ability to further navigate the child and is a direct indication to the rapid delivery.

In the development of preeclampsia, nephrotic syndrome is very bright, and a woman needs immediate hospitalization with a subsequent delivery.

Eclampsia is the hardest condition, developing fast enough and directly threatening the life of a pregnant woman. Its main manifestation - cramps, accompanied by either polyorgan deficiency (hepatic, renal, brain), or deficiency of a separate system. Naturally, doctors will try to save the life of a woman herself, so the delivery in this case is part of resuscitation events.

As such confirmation is not required - they speak for themselves and «Bad» urine tests with a protein content of up to several grams (normal amount should not exceed 0.033g / l), and deterioration of the general state of a pregnant woman, and systolic blood pressure up to 150 mm RT. Art.

If in the first half of pregnancy, the woman suffered a pronounced toxicosis, then the alertness of the gynecologist is preserved in the second half, since it is the main forerunner of gestosis.

In obstetric practice it is noted that the prestabors are more often developing in pregnant women with large fruit, with multi-way or multiple pregnancies.

To be relative

Deeper knowledge about the process of formation and development of gestosis of a pregnant woman is not needed at all. Much more important to warn this formidable pathology.

We have already talked about the inalienable stages of the survey during pregnancy in women's consultation. Now let's discuss them in more detail.

one. Have you had before pregnancy «Racing» Pressure or meteopathy (dependence of health status from weather conditions)? If this happened to be, then during pregnancy, gestosis of a lightweight can be calmly attributed to weather cataclysms and skip the moment of the formation of pathology. therefore measuring blood pressure And its fixation is important components of your health. For a more convenient assessment of its pressure level, the Mirsetov offers to use the formula: Hell average = (garden + 2DD) / 3, where garden - systolic (top) blood pressure, DDA - diastolic blood pressure.

Normally, a healthy pregnant woman has an average blood pressure will be no more than 100 mm RT. Art. Its increase by more than 10 mm RT. Art. indicates the development of pathology.

2. If for months of pregnancy added to 8 kg, and a week later, they realized that they could not fasten any clothes, do not rush to draw conclusions about the sudden growth of the fetus. Carefully inspect your legs (or resort to helping husband or girlfriend). Little veins are visible on a plus? If they are not distinguishable, and the legs look like pillows, contact the gynecologist and start the second diary (first - blood pressure). It needs to reflect the amount of liquid doubling and the amount of urine isolated.

3. Do you have a good vision? If you have never suffered from myopia, farewell or other diseases of the visual apparatus, then the deterioration of view (more often gradual) is a sign of the pathology of the eye don. In the initial stages of changes in the eye-eye period, angiopathy and retinal edema, gradually develop (at the beginning of preeclampsia).

Special ophthalmoscopic research is carried out in order to diagnose the state of intracranial vessels and identifies the pathology localizing in the eye day. Therefore, your vision needs to be given sufficient attention.

In addition to the above mentioned methods, recognize and control the flow of gestosis, there are other, laboratory research methods.

Biochemical blood test can tell a lot about the state of the body of a pregnant woman. For example, protein composition is determined to diagnose the severity of gestosis Plasma blood (After all, the protein is lost in large quantities with the urine). Do a biochemical blood testing is often not recommended, but, if possible, the specified deadlines are better not to miss.

Many women still cause indignation that obstetrics-gynecologists seek in emergency cases to save first mother, and then her child. In situations where preeclampsia or eclampsia develop rapidly, the fruit is regarded as provoking the factor, so the delivery is in favor of the first stage of emergency assistance. But this does not mean that in an attempt to save the girlfriend, doctors will forget about her child. Immediately after birth, the baby is transmitted to experienced neonatologists and receives proper care, attention and, if necessary, treatment.