Preeclampsia is a pregnancy complication marked by high blood pressure and signs that organs such as the kidneys or liver are affected. It usually develops after 20 weeks of pregnancy and can also appear soon after birth.
Early preeclampsia often has no symptoms and is found during routine blood pressure and urine checks. As it progresses, signs can include a severe headache, problems with vision such as blurring or flashing lights, pain just below the ribs, vomiting, and sudden swelling of the face, hands or feet. Contact a midwife, doctor or maternity unit straight away if you notice any of these.
The condition can affect anyone who is pregnant, but some factors raise the risk. These include a first pregnancy, preeclampsia in a previous pregnancy, high blood pressure or kidney disease before pregnancy, diabetes, carrying twins or more, being over 40, and obesity. The exact cause is not fully understood, but it is linked to problems with the placenta. In the past, preeclampsia was called toxemia.
Treatment depends on how severe the condition is and how far along the pregnancy is. Regular checks of blood pressure, blood and urine, plus checks on the baby, are central. Medicines may be used to lower blood pressure. Because preeclampsia usually settles only after the baby and placenta are delivered, an early birth is sometimes advised.
Frequent appointments for blood pressure checks and scans are common with preeclampsia. Some people need to stop work earlier than planned or spend time in hospital. Time off for antenatal appointments, rest breaks and lighter physical tasks can help.
Sources: ACOG, NHS, MedlinePlus.