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Talking Points For Pet

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TALKING POINTS FOR PRE-ECLAMPSIA.

1. What is Pre-eclampsia?
Pre-eclampsia is a pregnancy complication that is characterized by high blood pressure. The ‘disease’
frequently occurs during pregnancy after 20 weeks (5 months) of pregnancy but can also occur after
delivery.
2. Why is pre-eclampsia such a big issue/problem for everyone?
Pre-eclampsia affects 5-8% of all pregnancies worldwide. Globally, 16% of all mothers who die during
pregnancy or childbirth do so due to pre-eclampsia. This translates to over 76,000 maternal deaths per
year.
Pre-eclampsia also significantly contributes to the death of new-borns, causing over 500,000 new-born
deaths per year,
Pre-eclampsia is currently the second leading cause of death in women during pregnancy and childbirth in
Uganda.
Pre-eclampsia was responsible for 15 % of maternal deaths in Uganda (MPDSR report of 2020/2021).
3. Who is at risk of getting pre-eclampsia?
Any woman who gets pregnant has the potential to get pre-eclampsia. However, the following categories
of women are at increased risk of suffering from pre-eclampsia when they get pregnant:
I. Women who are carrying a pregnancy for the first time (primigravida)
II. Women who had pre-eclampsia in a previous pregnancy.
III. Women who are too “young” (less than 20 years) and too “old” (more than 40 years)
IV. Women who have a family history of pre-eclampsia (either the mother or maternal aunties or siblings
have ever had p re-eclampsia)
V. Women who already have high blood pressure before pregnancy (chronic hypertension)
VI. Women who are suffering from long-term diseases such as diabetes mellitus (sugar disease), kidney
disease, and sickle cell disease.
VII. Women who are obese (too much weight for the person’s height)
VIII. Women who carrying 2 or more fetuses (multiple pregnancy)
IX. Women who delay for more than 10 years to conceive after a previous pregnancy (long
inter pregnancy interval)
X. Women who conceive through assisted reproductive technologies (IVF)

4. What symptoms do women who suffer from pre-eclampsia have?


Several women who get pre-eclampsia may not show any symptoms. Those who show symptoms may
exhibit one or more of the following:
 Persistent and / or severe headache that will not go away even with painkillers.
 Visual disturbances (photophobia, blurred vision, or temporary blindness)
 Upper abdominal (
 Altered mental status (confusion, altered behavior, or agitation)
 Dyspnea or difficulty in breathing
 Swelling of the face, hands, and feet
 Nausea with or without vomiting after the mid-pregnancy.
 Excessive weight gains or sudden increase in weight (more than 5kg per week)

5. What are the complication of pre-eclampsia to a mother and baby?


 Convulsions/fits/seizures (eclampsia)
 Stroke
 Kidney failure
 Bleeding from the birth canal before delivery (abruption-placenta)
 Severe bleeding after delivery (postpartum hemorrhage)
 Fluid retention in the lungs (pulmonary edema)
 Liver failure
 Failure of the clotting system leading to uncontrollable bleeding (DIC).
 Premature birth
 Being stillborn
 Born too small.

6. What should a mother who has had pre-eclampsia do immediately after delivery.
 Watch out for warning and danger signs and symptoms such as headache, visual disturbances, and
 upper abdominal pain. Return to a health facility if these symptoms develop.
 Ensure to be checked in a health facility after 1 week, 6 weeks, and 12 weeks after delivery.
Sometimes the frequency may be more depending on the mother’s condition.
 Ensure a healthy lifestyle including maintaining a healthy weight, exercise, and eating healthy
foods (plenty of fruits and vegetables).

7. What can be done to reduce complications of pre-eclampsia?


 Encourage all pregnant women to start attending antenatal care early (as soon as they suspect or
confirm they are pregnant).
 Encourage all pregnant women to attend antenatal care regularly (as instructed by the health care
 providers) and to have their blood pressure checked at all visits.
 Assess all pregnant women found with high blood pressure for complications. This may require
admission to hospital.
 Practice healthy lifestyles such as maintaining an appropriate weight, eating healthy foods, and
exercising regularly as appropriate for the stage of the pregnancy.
 Encourage all women to deliver from health facilities.

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