Preeclampsia is one of the serious pregnancy complications, affecting about 5-8% of pregnant women globally (According to WHO, 2023). As an obstetrician-gynecologist with more than 15 years of experience in Singapore, I have witnessed many cases of preeclampsia and understand the worries of expectant mothers. This article will provide accurate, easy-to-understand medical information and practical solutions to help you feel more confident on your journey to motherhood.
What is preeclampsia?
Preeclampsia is a condition of high blood pressure (≥140/90 mmHg) accompanied by proteinuria or signs of organ damage (liver, kidney, or nervous system) after the 20th week of pregnancy. If not managed promptly, it can lead to eclampsia, which is dangerous for both mother and fetus. Common symptoms include edema, persistent headache, and persistent, blurred vision, or epigastric pain.
Causes and risk factors
The exact cause of pre-eclampsia is not yet known, but studies have shown that placental dysfunction, genetic factors, and underlying conditions such as chronic hypertension or diabetes may increase the risk. According to a study in The Lancet (2022), women who are pregnant for the first time, pregnant with multiples, or over the age of 35 are at higher risk.
Practical experience
In my 15 years of working at KK Women’s and Children’s Hospital and Mount Elizabeth Novena Hospital, I have managed hundreds of cases of pre-eclampsia. One memorable case was a 38-year-old woman, pregnant with twins, who was diagnosed with pre-eclampsia at 32 weeks. Through regular Doppler ultrasounds and collaboration with the cardiologist, we controlled her blood pressure with medication and planned a safe caesarean section at 36 weeks, resulting in the birth of both babies.
Solutions and prevention Prevention
Regular prenatal check-ups: Ultrasound and urine tests help detect early signs of abnormalities.
Diet: Supplement calcium (1.2g/day, according to WHO) and reduce salt in the diet.
Blood pressure management: Use safe medications such as methyldopa or labetalol under the supervision of a doctor.
Psychological counseling: Anxiety can increase blood pressure, so I always encourage patients to share their feelings to reduce stress.
Advice from doctors
Preeclampsia is not uncontrollable. With close monitoring and coordination between the pregnant woman and the doctor, you can completely overcome it. Listen to your body, see a doctor immediately if there are any unusual signs, and trust the medical team. As a doctor, I am committed to accompanying you to ensure a safe and happy pregnancy.