27.10.2020

Gestosis treatment

Early preeclampsia, which began on a short time and proceeds lightly, is treated by an obstetrician-gynecologist on an outpatient basis. With severe preeclampsia, the pregnant woman is hospitalized.

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If you have been diagnosed with preeclampsia, provide emotional and physical rest.

Follow the recommendations for the treatment and prevention of late gestosis:

  • You lie more on your left side – in this position the uterus is better supplied with blood, which means that more nutrients are supplied to the fetus.
  • Eat right (more protein foods of vegetables, greens), give up salt.
  • Drink no more than 1.5 liters of water per day.
  • When abnormal weight gain, arrange a fasting day once a week. Fish, apple and cheese unloading is suitable for pregnant women.

To normalize the work of the brain, prevention of seizures, the doctor may prescribe sedative formulations (motherwort, Novopassit), in rare cases – tranquilizers. Prescribed drugs to improve uteroplacental blood flow.

In the hospital

The main therapy is intravenous administration of magnesium sulfate (magnesium sulfate). The dose depends on the degree of manifestation. The drug reduces pressure, relieves spasms, prevents the development of seizures.

In a hospital setting, pregnant women make droppers with salt compounds (saline and glucose), colloids (infukol), blood products (albumin). Sometimes drugs are prescribed that improve blood fluidity (pentakifillin) and prevent its increased clotting (heparin). Actovegin and vitamin E injections are used to normalize blood flow in the mother-child system.

Therapy lasts for at least 14 days, in severe cases – a month or more (a woman is hospitalized until delivery).

The prognosis depends on the degree of complications of preeclampsia. With timely treatment, the outcome is often favorable.

Gestosis – the so-called complication of pregnancy, in which a woman swells. Her blood pressure rises, protein appears in the urine (proteinuria). Large body weight gains are possible.

Gestosis swelling during pregnancy cannot be considered, since fluid retention is characteristic of all expectant mothers. But pronounced swelling indicates pathology.

Usually, preeclampsia in pregnant women is diagnosed after 20 weeks, more often by 28-30 weeks, its signs may appear before childbirth. Complication arises for no apparent reason and against the background of irregularities in the work of the organs.

Predisposing factors
  • complications from past pregnancies;
  • first or multiple pregnancy;
  • infections, stress;
  • bad habits;
  • hypertension;
  • obesity;
  • kidney and liver problems.
Signs and symptoms of preeclampsia

The degree of symptoms of preeclampsia depends on the complications:

  1. Dropsy . Edemas appear on the knees and transfer to the hips, face and abdomen. Weight gain is more than 300 grams. in Week.
  2. Nephropathy . Increased pressure, protein appears in the urine. There may be no complaints.
  3. Pre-eclampsia . The central nervous system of the pregnant woman is affected, as a result, signs of preeclampsia appear: “flies” before the eyes, pain in the head and abdomen. The condition is dangerous swelling of the brain.
  4. Eclampsia . Characterized by convulsions, loss of consciousness. For long periods, emergency delivery is recommended.

In severe cases, preeclampsia during pregnancy can manifest as placental abruption, intrauterine growth retardation and fetal death.

Prevention of preeclampsia

When registering, the doctor carefully collects anamnesis of the pregnant woman, conducts an examination and determines the risk group for toxicosis and preeclampsia. A low-salt diet from early pregnancy is indicated for women at risk. Preventive courses of sedatives and antioxidants are conducted.

Most gestosis passes immediately after childbirth.

For the prevention of preeclampsia:
  • Control weight. Allowable increase – 300 gr. in Week. By week 38, no more than 12-14 kg should be collected.
  • Limit fatty and salty foods.
  • Do swimming, yoga, Pilates.
  • Walk more.
  • Do breathing exercises.
  • Drink decoctions of wild rose, lingonberry leaf, reducing puffiness.

Prescriptions doctor will help avoid complications of preeclampsia.

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