Preeclampsia

Preeclampsia: Understanding Pregnancy-Induced Hypertension

Preeclampsia is a potentially serious pregnancy complication characterized by high blood pressure and signs of organ dysfunction, most commonly involving the kidneys and liver. It typically occurs after the 20th week of gestation and can affect both maternal and fetal health if not managed promptly.

In the holistic spirit of Asklepios, the ancient Greek god of healing, preeclampsia is more than a physical ailment—it’s a signal that the balance between body and pregnancy has been disrupted. Understanding and respecting this imbalance is key to safeguarding maternal and fetal well-being.

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🔍 What Are the Symptoms of Preeclampsia?

• Persistent high blood pressure (≥140/90 mm Hg)
• Proteinuria (protein in the urine)
• Swelling (edema), especially in the face and hands
• Sudden weight gain
• Severe headaches
• Blurred vision or light sensitivity
• Upper abdominal pain, often under the ribs on the right side
• Shortness of breath, due to fluid in the lungs

Some women may have “silent preeclampsia” without noticeable symptoms. Routine prenatal checks are therefore vital.

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🧬 What Causes Preeclampsia?

The exact cause is still unknown, but risk factors and theories include:

• Abnormal development of placental blood vessels
• Immune system dysfunction
• Genetic factors
• Poor nutrition or low antioxidant levels
• Pre-existing conditions: diabetes, hypertension, kidney disease, obesity

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⚠️ Who Is at Risk?

• First-time pregnancies
• Multiple pregnancies (twins, triplets)
• Women over 35 or under 18
• Family history of preeclampsia
• Previous history of the condition
• Autoimmune disorders (e.g., lupus)

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🧪 How Is Preeclampsia Diagnosed?

• Blood pressure monitoring
• Urine tests to detect protein
• Blood tests (kidney & liver function, platelet count)
• Ultrasound to monitor fetal growth
• Non-stress test (NST) to assess fetal heart rate and well-being

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💊 Treatment Options

There is no cure for preeclampsia except delivery of the baby and placenta, but the condition can often be managed until delivery is safe.

1. Mild Preeclampsia (Before 37 Weeks):

• Frequent monitoring
• Rest and reduced activity
• Blood pressure medication if needed

2. Severe Preeclampsia:

• Hospitalization
• Medications to control BP and prevent seizures (e.g. magnesium sulfate)
• Early delivery if the mother or baby is at risk

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🌿 Asklepios-Inspired Holistic Management

In ancient Greek medicine, harmony between body systems was paramount. Applying this today:

• Nutrition: Emphasize antioxidants (vitamin C, E), calcium and magnesium
• Hydration: Maintain fluid balance
• Stress reduction: Meditation, gentle movement (as permitted) and supportive care
• Natural supplements: Must only be used with medical approval

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🤱 Possible Complications

Untreated preeclampsia can progress into:

• Eclampsia: Life-threatening seizures
• HELLP syndrome: Hemolysis, elevated liver enzymes, low platelet count
• Placental abruption
• Fetal growth restriction or stillbirth

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✅ Preventive Measures

• Pre-pregnancy health assessments
• Early and regular prenatal care
• Managing chronic conditions before conception
• Maintaining healthy weight and lifestyle
• Low-dose aspirin may be prescribed for high-risk individuals (as advised by a doctor)

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🔔 Balance and Vigilance

Preeclampsia reminds us of the sacred equilibrium between mother and child. Like the temple healers of Asklepios, who observed the signs of imbalance in body and soul, modern medicine combines diagnostics and empathy to navigate this challenge.

With early detection and integrative care, most women with preeclampsia go on to have healthy pregnancies and births.