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Preeclamsia & Prematurity

Preeclampsia and Prematurity Insights on Managing Challenges in Pregnancy- Motherhood Hospital India
Preeclamsia & Prematurity

Pre - Eclampsia is a serious health problem affecting 5-8% of pregnancy worldwide

(8-10)% of pregnant women in India gets affected by it. 40% indicated or medically induced prematurity is caused by pre - Eclampsia and eclampsia in order to save life of mother and baby as delivery is the final option for this disease of placental origin. Main indications of premature delivery are


  • Fetal disease
  • Intrauterine growth restriction
  • Oligo hydramnios
  • Placental abruption
  • Abnormal blood to fetus or abnormal doppler study

Maternal indications :

  • Recurrent eclampsia
  • HELLP syndrome
  • D/C
  • Liver hematoma
  • Renal failure
  • Hypertensive encephalopathy
  • Pulmonary edema

Can pre-elcampsia, eclampsia and prematurity can be prevented?

Primary prevention:

To prevent disease from happening
  • Avoid smoking and alcohol (It reduces disease by 30 - 40 %)
  • Maintain healthy weight
  • Avoid late marriage and late pregnancy
  • Diet rich in antioxidant such as Vit C, Vit E,Magnesium,. Zinc and calcium if positive family history of hypertension pre-eclampsia and eclampsia
  • Medication
  • Role of low dose of ecospirin is still no confirmed


  • Medicines as such as Nifedipine, Labetalol, Hydralazsine
  • Sodium nitro prusside sodium
Tertiary Prevention to avoid recurrence by Magnesium sulphate The main culprit of Pre-Eclampsia and eclampsia is placenta, which provides nourishment for baby. There is no 100% effective screening method to prevent it. So, final outcome depends on experienced and dedicated obstetrician for early diagnosis organized antenatal care and family decision of delivery

Authored By : Dr Deepmala

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