Eclampsia & Pre-eclampsia
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Eclampsia is a life-threatening complication ocurring in pregnancy and is a leading cause of maternal and perinatal mortality. According to US study data from 1979-86 the occurance of eclampsia is reported to be 0.56 per 1,000 births comparing to pre-eclampsia which occurs in 26 per 1,000 births. Patients with eclampsia are at increased risk for pre-eclampsia-eclampsia in a later pregnancy.
Pre-eclampsia is characterized as hypertensive disorder of pregnancy.
Eclampsia and pre-eclampsia (also known as toxemia), tend to occur more commonly in first pregnancies and young mothers where it is thought that exposure to paternal antigens still has been low. Women with preexisting vascular diseases are at higher risk to develop preeclampsia and eclampsia. Such diseases are diabetes and hypertension or thrombophilic diseases such as the antiphospholipid syndrome. Conditions with a large placenta also have predisposition for toxemia. Genetic component is a risk factor as well, in sense that patients whose mother or sister had the condition are at higher risk.
Pre-eclampsia exists when a pregnant woman with gestational hypertension develops proteinuria. Originally, edema was considered part of the syndrome of pre-eclampsia, but presently the former two symptoms are sufficient for a diagnosis of pre-eclampsia.