:-Objective
  :-Objective
  A unique disease (syndrome) of pregnant 
  A unique disease (syndrome) of pregnant 
  woman in the second half of pregnancy.     
  woman in the second half of pregnancy.     
  Carries significant maternal & fetal morbidity 
  Carries significant maternal & fetal morbidity 
  and mortality.
  and mortality.
  Two criteria for diagnosing preeclampsia   
  Two criteria for diagnosing preeclampsia   
    hypertension & proteinuria, in eclampsia        
     hypertension & proteinuria, in eclampsia        
    tonic and clonic convulsions.
     tonic and clonic convulsions.
  The definite cure of preeclampsia & 
  The definite cure of preeclampsia & 
  eclampsia is delivery.
  eclampsia is delivery.
  :-Defenition of preeclampsia
  :-Defenition of preeclampsia
     The presence of hypertension of at least 
     The presence of hypertension of at least 
   140/90 mm Hg recorded on two separate
   140/90 mm Hg recorded on two separate
   occasions at least 4 hours apart and in the  
   occasions at least 4 hours apart and in the  
   presence of at least 300 mg protein in a 
   presence of at least 300 mg protein in a 
   24 hours collection of urine arrising de novo 
   24 hours collection of urine arrising de novo 
              th
              th
   after the 20  week gestation in a previously
   after the 20  week gestation in a previously
   normotensive women and resolving 
   normotensive women and resolving 
   completetly by the sixth postpartum week.
   completetly by the sixth postpartum week.
   Classification of 
    Classification of 
   hypertensive 
    hypertensive 
   disorders of pregnancy
    disorders of pregnancy
        Preeclampsia / eclampsia
         Preeclampsia / eclampsia
        Chronic hypertension
         Chronic hypertension
        Chronic hypertension with 
         Chronic hypertension with 
         superimposed
         superimposed
           preeclampsia
            preeclampsia
        Pregnancy induced hypertension
         Pregnancy induced hypertension
   Incidence
   Incidence
     3% of pregnancies.
     3% of pregnancies.
  Epidemiology
  Epidemiology
   More common in primigravid
   More common in primigravid
   There is 3-4 fold increase in first degree 
   There is 3-4 fold increase in first degree 
   relatives of affected women.
   relatives of affected women.