Overview of pre-production and pre-production

The article is consulted professionally by Master, Dr Vu Huu Thang – Emergency Resuscitation Doctor – Emergency Resuscitation Department – Share99 Ha Long International Hospital.

Seizures are serious complications of pre-seizures. These are two rare diseases that have serious consequences when blood pressure rises, causing women to have seizures during pregnancy.

Pre-seizures and seizures are two diseases of pregnancy that have symptoms associated with development or aggravation of hypertension some after the 20th week of pregnancy or appear immediately after birth. Pre-production, formerly known as "gestational intoxication", is a condition developed during pregnancy that has characteristic signs including hypertension and having proteins in the urine. If not properly recognized and managed, pre-production may progress to a seizure.

High blood pressure is dangerous during pregnancy as it interferes with the fetus' ability to provide oxygen and nutrition through the placenta. Babies born will have a lower-than-normal weight, along with other health problems, and may need to be born prematurely.

If the blood pressure of the maternity continues to rise higher, the kidneys will have problems with functioning. Women may experience blood problems such as damage to red blood cells leading to anemia, liver dysfunction, and tinglet reduction. In the case of too few tinglets, the maternity risks unn control bleeding during labor. In addition, high blood pressure can cause the placenta to begin to separate from the walls of the uterus, also known as juvenile peeling. When each other peels young will lead to severe bleeding, even death of both mother and child.

If the maternity begins to have pre-seizure seizures, then it will be diagnosed as a seizure. This is a life-threatening situation for both the maternity and the fetus due to the seizures, both the mother and the fetus are at risk of hypoxia.

The cause of pre-production remains unclear. Most theories suggest that the cause may be fetal abnormal development, vascular problems, the immune system or genetic factors.

In the US, 3% to 7% of pregnant women are diagnosed with pre-seizures. Any pregnant woman may have pre-maternity seizures, but if the maternity has the following factors, the risk of pre-production is higher:

• First pregnancy
• The mother or sister of the maternity suffer from pre-maternity seizures or maternity jerks during pregnancy
• Multi-pregnancy
• African American
• Maternity under 20 years old or over 35 years of age at the time of pregnancy
• Women who have had hypertension, kidney diseases or diabetes
• Women with pre-pregnancy body mass index (BMI) greater than 30
• Women who had suffered pre-maternity seizures during their previous pregnancy

3.1 Pre-production

To diagnose pre-seizures, the maternity has high blood pressure and one or more of the following symptoms at the time after the 20th week of pregnancy:

• Proteins in the urine of women
• Low number of tinglets
• Impaired liver function
• Signs of other kidney problems
• Translation in the lungs
• Headache or visual disturbances

Previously, pre-production was only diagnosed if there was high blood pressure and protein in the urine. However, experts say that there are some cases of pre-production jerks but there are no proteins in the urine.

Blood pressure index above 140/90 mm Hg is abnormal in pregnancy. However, a high blood pressure index does not mean that the woman has pre-production. If the maternity has one result within the abnormal range or a reading is significantly higher than the usual blood pressure of the maternity, the doctor will continue to monitor the blood pressure closely.

After 4 hours of re-measurement, if abnormal blood pressure continues to appear at the second reading, the doctor will suspect that the maternity has pre-seizures. After that, the doctor will prescribe to perform some tests such as:

• Blood tests to check liver function, kidney function and measure tingular levels.
• Urine analysis. The doctor will instruct the maternity to collect urine for 24 hours, to measure the amount of protein in the urine. And urine samples will be taken to measure the ratio of proteins and creatinine that can also be used for diagnosis.
• Fetal ultrasound. The doctor closely monitors the growth of the baby through ultrasound. The image of the fetus on the ultrasound allows the doctor to estimate the weight of the fetus and the amount of amniotic fluid.

Nonstress test or biophysical profile. Nonstress is a simple technique performed to check how the fetal heart rate reacts when the fetal exam moves. Biometrics use ultrasound to measure breathing rate, muscle force, fetal movement, and volume of amniotic fluid in the uterus.

3.2 Production

The most common symptom of seizures is convulsions. Similar to pre-production, other changes and symptoms may also appear and vary depending on which agency is affected. These changes can affect the mother, fetus or, more commonly, both the mother and the fetus.

• The risk of seizure increases when blood pressure rises above 160/110 mm Hg.
• Dialysis kidneys are ineffective, so protein excreted through abnormal urine.
• Changes in the nervous system such as blurred vision, seeing spots, severe headaches, convulsions and sometimes blindness.
• Changes affecting the liver cause upper abdominal pain. This pain can be confused with pain caused by ingestion or gallbladder disease.
• Hypertension of pre-seizures can reduce blood flow to the fetus, which should reduce fetal development. Therefore, the pregnancy may be smaller than that of a healthy fetus. In severe cases, fetal movement may be reduced due to impaired fetal oxidation. Therefore, if the maternity feels that the fetus has reduced the machine or reduced mobility, it is recommended to go to the Medical facility immediately.

The most effective treatment for pre-seizures and seizures is maternity childbirth. Because women are at risk of seizures, placenta ruptures, strokes and can bleed severely until the maternity's blood pressure drops. However, if you give birth too early, it is not the best thing for the fetus.

If the maternity is diagnosed with pre-maternity, the doctor will instruct the maternity to know the frequency of pregnancy examinations, which may be more frequent than pregnant women without pre-seizures. During each visit, the maternity will also need to perform more tests.

Possible treatment drugs for pre-seizures may include: Antitension drugs, Corticosteroids and anti-seizure drugs.

In case of severe pre-maternity seizures, the maternity may be hospitalized to monitor the health status of both the mother and the fetus. If the maternity is diagnosed with pre-convulsions near the end of pregnancy, the doctor may prescribe labor immediately. In severe cases, the doctor may not be able to consider the gestational age or the degree of cervical opening, the doctor will cause labor or surgery to catch the baby. During childbirth, maternity can be intravenously given magnesium sulfate to prevent seizures.

If the maternity needs to take painkillers after birth, the doctor may prescribe certain NSAIDs, such as ibuprofen and sodium naproxen. After birth, it may take some time for the blood pressure to return to normal and the symptoms of pre-seizures and seizures to be treated.

Seizures are a medical emergency and this pathology is treated with medication to control seizures and maintain stable blood pressure with the goal of minimizing complications for both mother and baby. Magnesium sulfate is a first-hand treatment when seizures occur. If seizures are not controlled by magnesium sulfate, other drugs such as lorazepam (Ativan) and phenytoin (Dilantin, Dilantin-125) can be used.

Share99 International Health Hub offers a full maternity care program for women from the very beginning of pregnancy from the first months with a full range of pregnancy examinations, 3D ultrasounds, 4D routines and routine tests to ensure the mother is always healthy and the fetus develops comprehensively.

Master. physician. Vu Huu Thang has nearly 10 years of experience in Emergency Resuscitation; proficiently perform basic and advanced emergency resuscitation procedures, examine and treat medical emergency cases, severe patients need active resuscitation. The doctor studied clinically, participated in examination and treatment at Bach Mai Health Hub before being an emergency resuscitation doctor at Share99 Ha Long International Health Hub.

Customers can directly go to Share99 Health System nationwide for examination or contact the hotline here for assistance.

Article reference source: Webmd.com

SEE MORE:

• Pre-seizure: Causes, symptoms, diagnosis and treatment
• Pregnancy intoxication: Causes, symptoms, diagnosis and treatment
• Young peeling: Causes, symptoms, diagnosis and treatment