The Effects of PIH/HELLP
Syndrome
on Mom & Baby
After deliver stabilization
is marked by decreasing blood pressure, increasing urine output and decreased
edema and protein found in the urine. BP should return to the pre pregnancy
baseline within the first few weeks postpartum. Failure of blood pressure
to return to normal should be reported and the patient should be monitored
for potential chronic hypertension.
Patients with pre-eclampsia
remote from term are reportedly at increased risk for undiagnosed renal
disease. There is also found to be a high incidence of essential chronic
hypertension. Also a women with severe pre eclampsia remote from term may
have underlying renal disease for which they should be evaluated after
delivery. Mothers with HELLP are at increased risk for liver rupture, DIC
(Disseminated Intravascular
Coagulation), abruptio placentae, and acute
renal failure (sudden drop in kidney function). The risk of liver rupture,
sub capsular hematoma and infarction
(death
of a body of tissue), hypoglycemia,
pancreatis, pseudocyst
(a cluster of toxoplasmas in an enucleate
host cell) formation and neurologic complications continues postpartum,
adult respiratory distress syndrome & pulmonary edema.
Stroke risks of both
cerebral infarction and ICH are increased in the 6 wk period after delivery
but not during pregnancy itself . Massive hepatic necrosis and a variety
of neurologic and cardiac abnormalities have been reported in several cases.
The convulsive phase
of pre-eclampsia - eclampsia is a leading cause of maternal death in this
disease. The mechanisms leading to these convulsions are not known; Vasospasms
(the contracting and relaxing of your blood vessels) leading to severe
ischemia or hemorrhage being the more popular hypothesis, but brain edema
and hypertensive encephalopathy have also been implicated.
Is has been found
that low magnesium, in the person AND in the amniotic fluid, are directly
related to the incidence of eclampsia. It is also known that magnesium
is one of the most difficult minerals to absorb even with a normally functioning
intestinal lining.
Read here about the *
*link
between Migraines and Magnesium
Migraine
and Stroke in Young Women
Do
you know enough information about Stoke?
Do
you know the relation between stroke an Migraines?
PIH can also adversely
affect the fetus. Blood flow to the uterus and placenta is insufficient
consequently this insufficiency may include IUGR
and death. An abnormally small placenta with a reduced blood flow leads
to IUGR and increases the risk of fetal hypoxia during labor. Perinatal
death was due to large placental infarcts, abruption placentae, IUGR and
intrauterine asphyxia and prematurity. Babies are sometimes diagnosed with
thrombocytopenia
and leukopenia
in mothers of HELLP.
Slow growth
while in the womb called IUGR
Need more
help breathing at birth (resuscitation)
More likely
to need oxygen in the hours after birth
Low Blood
Sugar
High number
of Red Blood Cells
Low number
of White Blood Cells
Low number
of Platelets
Patent
Ductus Arteriosus
Slow to
feed
Low muscle
tone - it's interesting to note that magnesium given
to the mother may also affect the ability of the baby to pass it's meconium
or stool for several days.
Low Calcium
Low Blood
Pressure
Still looking for more HELLP
information? Chances
of PIH/HELLP in subsequent Pregnancies will take you to the next
page. Also if you have a HELLP story to share please stop by the
HELLP
Syndrome Birth Stories Page and leave or read a story. Here you
will also find up to date HELLP/Pre-E net articles and books. You
will also find WebRing information at the above listed url.
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