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Case Report



Preeclampsia - Case Report

Mohammad Abou El-Ardat.




Abstract

Background: preeclampsia, a pregnancy-specific condition, is characterized by hypertension and proteinuria after 20 weeks of gestation. In addition, preeclampsia may have an impact on women’s health beyond their pregnancies, and has been associated with increased risks for future hypertension and cardiovascular disease, such as coronary heart disease and stroke. Objective: the aim of this paper was to present a case of preeclampsia with letal outcomes of mother, but child is saved by Cesarea section. Methods: presentation of a case of preeclampsia in a patient who was hospitalized at the Clinic for Gynecology and Obstetrics of the Sarajevo Canton. Cas report: the patient underwent continuous non-invasive monitoring of vital parameters. On admission TA 209/141 mmHg, HR 99/ min, SpO2 95 %, with oxygen support on a nasal catheter 4L/min. Ebrantyl 25 mg iv is prescribed immediately (measured pressure TA 191/148 mmHg), and then Ebrantyl in continuous infusion, 0.9% NaCl iv to maintain the venous path, laboratory findings are taken and the internist and neurologist are called in consultation. Upon arrival at the intensive care unit at 3:57 PM, the competent physician for the consular internal examination finds the patient unconscious, with no pressure or pulse, resuscitation in progress, guided by anesthesia. Conclusion: the conducted study proved that high blood pressure leads to preeclampsia, which in this case resulted in the death of the mother, while the baby survived.

Key words: hypertension, pregnancy, preeclampsia, cardiovascular disease, metabolic abnormalities, inflammatory response, cesarean section.






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