Difference between revisions 1046917 and 1056553 on knwiki

{{delete|ಸಂಪೂರ್ಣ ಲೇಖನ ಇಂಗ್ಲಿಶ್‍ನಲ್ಲಿದೆ}}
{{Infobox disease |
  Name           = Pre-eclampsia |
  ICD10          = {{ICD10|O|11||o|10}}, {{ICD10|O|14||o|10}} |
  ICD9           = {{ICD9|642.4}}-{{ICD9|642.7}} |
  ICDO           = |
  Image          = Hypertrophic decidual vasculopathy high mag.jpg|
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* Environmental factors, e.g. air pollution<ref name=EHP>{{cite web | author =Jun Wu, Cizao Ren, Ralph J. Delfino, Judith Chung, Michelle Wilhelm, & Beate Ritz | title =Association Between Local Traffic-Generated Air Pollution and Pre-eclampsia and Preterm Delivery in the South Coast Air Basin of California | publisher
  =Environmental Health Perspectives | url  =http://www.ehponline.org/members/2009/0800334/0800334.pdf | year =  2009 | accessdate  =2009-07-05 | archive-date =2009-07-19 | archive-url =https://web.archive.org/web/20090719065531/http://www.ehponline.org/members/2009/0800334/0800334.pdf | url-status =dead }}</ref>

Those with long term [[hypertension|high blood pressure]] have a risk 7 to 8 times higher than those without.<ref>{{cite journal|last=Bramham|first=K|author2=Parnell, B |author3=Nelson-Piercy, C |author4=Seed, PT |author5=Poston, L |author6= Chappell, LC |title=Chronic hypertension and pregnancy outcomes: systematic review and meta-analysis.|journal=BMJ (Clinical research ed.)|date=Apr 15, 2014|volume=348|pages=g2301|pmid=24735917 |pmc=3988319 |doi=10.1136/bmj.g2301}}</ref>

(contracted; show full)c=3713793}}</ref><ref name="BBC News - Pre-eclampsia predicted using test during pregnancy">{{cite news |url=http://www.bbc.co.uk/news/health-15694021 |title=BBC News - Pre-eclampsia predicted using test during pregnancy|work= |accessdate = 2011-11-22|date=2011-11-12}}</ref><ref name="Mechanisms and Management of Hypertension in Pregnant Women.">{{cite web |url=http://lib.bioinfo.pl/pmid:21656283 |title=Mechanisms and Management of Hypertension in Pregnant Women.
  |work= |accessdate = 2011-11-22=2011-11-22 |archive-date=2013-04-16 |archive-url=https://archive.is/20130416082731/http://lib.bioinfo.pl/pmid:21656283 |url-status=dead }}</ref> Research is ongoing.

===Differential diagnosis===

Pre-eclampsia can mimic and be confused with many other diseases, including chronic hypertension, chronic renal disease, primary seizure disorders, gallbladder and [[pancreatic disease]], immune or [[thrombotic thrombocytopenic purpura]], [[antiphospholipid syndrome]] and [[hemolytic-uremic syndrome]]. It must always be considered a possibility in any pregnant woman beyond 20 weeks of gestation. It is particularly difficult to diagnose when (contracted; show full)t; The WHO recommends low-dose aspirin for the prevention of preeclampsia in women at high risk and recommend it be started before 20 weeks of pregnancy.<ref name="ReferenceB"/> The [[United States Preventive Services Task Force]] recommends a low-dose regimen for women at high risk beginning in the 12th week.<ref>{{cite web |url=http://www.uspreventiveservicestaskforce.org/uspstf/uspsaspg.htm |title=Low-Dose Aspirin Use for the Prevention of Morbidity and Mortality From Preeclampsia 
  |author=<!--Staff writer(s); no by-line.--> |date=Sep 2014 |website= |publisher=United States Preventive Services Task Force |accessdate=  17 Sep 2014 |archive-date=17 ಸೆಪ್ಟೆಂಬರ್ 2014 |archive-url=https://web.archive.org/web/20140917203610/http://www.uspreventiveservicestaskforce.org/uspstf/uspsaspg.htm |url-status=dead }}</ref>

===Physical activity===
There is insufficient evidence to recommend either exercise<ref name="Cochrane2006-Meher-exercise">{{cite journal | author = Meher S, Duley L | title = Exercise or other physical activity for preventing pre-eclampsia and its complications | journal = Cochrane Database of Systematic Reviews | volume =  | issue = 2 | pages = CD005942 | year = 2006 | pmid = 16625645 | doi = 10.1002/14651858.CD005942 | editor1-last = Meher | editor1-first = Shireen }}</(contracted; show full)

The goal of treatment of severe hypertension in pregnancy is to prevent cardiovascular, kidney, and cerebrovascular complications.<ref name="Pregnancy 2013"/> The target blood pressure has been proposed to be 140-160 mmHg systolic and 90-105 mmHg diastolic, although values are variable.<ref>[http://www.nvog-documenten.nl/uploaded/docs/Hypertensieve%20aandoeningen/Hypertensive_disorders_in_pregnancy%5B1%5D.pdf Hypertensive Disorders in Pregnancy. Version 2.0.]
 {{Webarchive|url=https://web.archive.org/web/20160306045306/http://www.nvog-documenten.nl/uploaded/docs/Hypertensieve%20aandoeningen/Hypertensive_disorders_in_pregnancy%5B1%5D.pdf |date=2016-03-06 }} at Nederlandse Vereniging voor Obstetrie en Gynaecologie. Date of approval: 20-05-2005</ref>

===Prevention of eclampsia===
The intrapartum and postpartum administration of magnesium sulfate is recommended in severe preeclampsia for the prevention of [[eclampsia]].<ref name=Lancet2010/><ref name="ReferenceA"/> Further, magnesium sulfate is recommended for the treatment of eclampsia over other anticonvulsants.<ref name="ReferenceA"/> Magnesium sulfate acts by inte(contracted; show full) tolerance}} Many studies have also suggested the importance of a woman's [[immunological tolerance]] to her baby's father, whose genes are present in the young fetus and its placenta and which may pose a challenge to her immune system.<ref name="Burne">{{cite news | last=Burne | first=Jerome | title=Give Sperm a Fighting Chance | publisher=The Times | date=2006-01-30 | accessdate=2007-11-16 | url=http://www.timesonline.co.uk/tol/life_and_style/health/our_experts/article721663.ece
}} {{Dead link|date=September 2010|bot=H3llBot | archive-date=2020-04-11 | archive-url=https://web.archive.org/web/20200411193825/http://www.timesonline.co.uk/tol/life_and_style/health/our_experts/article721663.ece | url-status=dead }}</ref><ref name="Sex Primes Women for Sperm">{{cite news | title=Sex Primes Women for Sperm | publisher=BBC News | date=2002-02-06 | accessdate=2007-11-19 |url=http://news.bbc.co.uk/2/hi/health/1803978.stm}}</ref> As the theory is further investigated,<ref name="Waite">{{cite journal | author = Waite LL, Atwood AK, Taylor RN | title = Pre-eclampsia, an implantation disorder | journal = Reviews in Endocrine & Metabolic Disorders | volume = 3 | issue = 2 | pag(contracted; show full)
* [[Mayo Clinic]] [http://www.mayoclinic.com/print/preeclampsia/DS00583/METHOD=print&DSECTION=all fact sheet on pre-eclampsia] 
* {{cite web|title=Preeclampsia Research at the NICHD|url=http://www.nichd.nih.gov/news/resources/spotlight/pages/101812-preeclampsia.aspx|publisher=NICHD : US Department of Health and Human Services & National Institutes of Health}}

{{Pathology of pregnancy, childbirth and the puerperium}}

[[ವರ್ಗ:Health issues in pregnancy]]
[[ವರ್ಗ:Medical emergencies]]