Navigation Links
Study identifies warning signs of pregnancy danger
Date:8/31/2007

Warnings signs such as increased stress could indicate that pregnancy-induced hypertension is reaching life-threatening levels, found Temple University researcher Kathleen Black, DNSc, RNC, the author of a study in the September/October issue of the Journal of Obstetric, Gynecologic, & Neonatal Nursing.

The condition is variable and can change quickly. We need to be aware of symptoms changing from mild to worse. A higher number of symptoms could also mean [pregnancy-induced hypertension] is getting worse, Black said.

Also known as preeclampsia and gestational hypertension, pregnancy-induced hypertension occurs at about 20 weeks in 6 percent to 8 percent of pregnancies. The exact cause is not known. Severe forms of these conditions can play a role in perinatal developmental issues of the fetus or even death for both the mother and fetus. The perinatal period is defined as the time of birth (five months before and one month after).

Women should call their physician if theyre experiencing headaches, dizziness, frequent vomiting and malaise, Black said.

Usually, the blood vessels expand during pregnancy to increase blood flow, but high blood pressure causes them to clamp down, Black explained.

Nurses currently monitor the condition on an outpatient basis by checking in regularly with their patients. They generally look for the symptoms of persistent headache, blurred vision and abdominal pain as signs that it could be getting worse. In the study, Black suggests also assessing for other symptoms such as perceived stress, vertigo, inability to concentrate and mental changes.

Women become hospitalized and could deliver early if the condition is either severe or getting worse.

Right now, the cure in severe cases is delivery, which could mean a premature baby. If it stays mild, the pregnancy can still go smoothly, Black said.

Philadelphia resident Michelle Murphy-Rosanski delivered five weeks early in October 2003 because her preeclampsia became too severe. She suffered from a persistent headache, more than usual weight gain and sound sensitivity with the condition.

Im so glad my daughter and I are doing well. It was very frightening, you kept wondering if the baby was OK, said Murphy-Rosanski, who is a nursing instructor. All these things are going on with your body, and you dont know what to about it.

Gestational hypertension is diagnosed when there is high blood pressure without protein in the urine. Preeclampsia is more serious than gestational hypertension, where the kidney leaks protein. Preeclampsia can affect many organs and cause serious or even life-threatening problems.

Black became interested in studying the condition while working as a perinatal nurse for high-risk pregnancies and a labor and as a delivery nurse for more than 25 years.

I followed women with mild preeclampsia and saw their condition go from mild to severe within a few days. We want nurses to catch the symptoms as soon as possible. I wanted to see if there was a trigger for this, she said.

In her study, Black found that stress is higher in women with worsening or severe preeclampsia and gestation hypertension. She said nurses can help their patients reduce stress levels by identifying social supports within the family and in the community, or bringing in a home nurse if needed. Women with mild preeclampsia should slow down their activities.

We can give emotional support just by simply listening to them, Black said.

Murphy-Rosanski said a home help nurse and her midwife helped her through the stressful situation. She also made sure her family understood the condition.

Its important everyone around you knows whats going on. Its not something that you did wrong to make it happen, Murphy-Rosanski added.

Based on this research, Black is developing a comprehensive tool for all nurses to monitor the condition and to assist women in coping with it.

As nurses, we take a holistic approach to this issue by addressing the psychological and physical needs of the patient, Black said.


'/>"/>
Contact: Anna Nguyen
anna.nguyen@temple.edu
215-707-1731
Temple University
Source:Eurekalert

Related biology news :

1. Bioartificial kidney under study at MCG
2. Novel Asthma Study Shows Multiple Genetic Input Required; Single-gene Solution Shot Down
3. W.M. Keck Foundation funds study of friendly microbes
4. Yellowstone microbes fueled by hydrogen, according to U. of Colorado study
5. Emory Study Tests Bone Marrow Stem Cells to Improve Circulation in Legs
6. UCLA Study Shows One-Third of Drug Ads in Medical Journals Do Not Contain References Supporting Medical Claims
7. Study Demonstrates Gene Expression Microarrays are Comparable and Reproducible
8. Study Links Ebola Outbreaks To Animal Carcasses
9. Genome-wide mouse study yields link to human leukemia
10. Breakthrough Microarray-based Technology for the Study of Cancer
11. NYU Study Reveals How Brains Immune System Fights Viral Encephalitis
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/1/2016)... YORK , June 1, 2016 ... Technology in Election Administration and Criminal Identification to Boost ... to a recently released TechSci Research report, " Global ... By Region, Competition Forecast and Opportunities, 2011 - 2021", ... 24.8 billion by 2021, on account of growing security ...
(Date:5/12/2016)... , May 12, 2016 WearablesResearch.com , ... published the overview results from the Q1 wave of ... recent wave was consumers, receptivity to a program where ... with a health insurance company. "We were ... share," says Michael LaColla , CEO of Troubadour ...
(Date:4/28/2016)... First quarter 2016:   , Revenues amounted ... quarter of 2015 The gross margin was 49% (27) ... the operating margin was 40% (-13) Earnings per share ... operations was SEK 249.9 M (21.2) , Outlook   ... M. The operating margin for 2016 is estimated to ...
Breaking Biology News(10 mins):
(Date:6/24/2016)... Epic Sciences unveiled a liquid biopsy ... PARP inhibitors by targeting homologous recombination deficiency (HRD) ... test has already been incorporated into numerous clinical ... Over 230 clinical trials are investigating ... PARP, ATM, ATR, DNA-PK and WEE-1. Drugs targeting ...
(Date:6/24/2016)... ... , ... Researchers at the Universita Politecnica delle Marche in Ancona combed medical ... mesothelioma. Their findings are the subject of a new article on the Surviving Mesothelioma ... in the blood, lung fluid or tissue of mesothelioma patients that can help point ...
(Date:6/23/2016)... ... June 23, 2016 , ... UAS LifeSciences, ... launch of their brand, UP4™ Probiotics, into Target stores nationwide. The company, which ... to add Target to its list of well-respected retailers. This list includes such ...
(Date:6/23/2016)... , June 23, 2016 /PRNewswire/ - FACIT ... Ontario biotechnology company, Propellon Therapeutics ... development and commercialization of a portfolio of first-in-class ... Epigenetic targets such as WDR5 represent an exciting ... significantly in precision medicine for cancer patients. Substantial ...
Breaking Biology Technology: