Pregnancy Induced Hypertension (Preeclampsia) :

Pre-eclampsia – A multisystem disorder of unknown etiology, develops after 20 weeks of gestation With BP readings  ≥ 140/ 90mm Hg , two  readings 4 – 6 hours apart  with Proteinuria – Urine dipstick for protein : ≥ 2+  or 24 hour urine albumin ≥ 300 mg.

Risk Factors:

  • Primigravida,
  • multifetal gestation- twins, triplets 
  • family history of pre-eclampsia ,
  • h/o raised BP in previous pregnancy
  • Obesity

Warning Signs:

  •  Headache
  • blurring of vision
  • epigastric pain
  • nausea
  • vomiting
  • dizziness
  • excessive swelling over feet and abdomen
  • shortness of breadth


  • Urine test for protein, Blood investigations- CBC, Coagulation profile, LFT, RFT,LDH
  • Fetal monitoring- is done by regular USG to rule out IUGR


  • Antihypertensives- Lobetolol, Methyldopa,
  • Rest, Diet- low salt, high protein 
  • Prophylactic Magnesium sulphate and delivery  

Complications:  of pre-eclamsia are- Eclampsia, antepartum haemorrhage, preterm labour, preterm delivery , HELLP syndrome, cerebral haemorrhage, liver failure and kidney failure


  • Prediction of preeclapisa is done by Uterine artery doppler- PI done at 11-14 weeks and Serum sFlt1 (soluble fms like tyrosin kinase 1)/ PlGF levels, if  <38- Pre-eclampsia is less likely
  • Prevention of pre-eclampsia- Use little or no added salt in your meals, Drink 6-8 glasses of water a day, Avoid fried foods and junk food, Get enough rest, Exercise regularly, Avoid alcohol, Avoid beverages containing high amount of caffeine, Take calcium rich diet

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