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Systemic edema in pregnant women

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Systemic edema in pregnant women often occurs after 24 weeks of gestation. It is a kind of systemic edema. Its characteristics are: edema is more serious, and is accompanied by high blood pressure and proteinuria. In systemic edema, the fluid is diffusely distributed in the interstitial space of the body. Indentation edema occurs when there is a considerable amount of fluid.

Cause

Cause

More common in the first child, twins, polyhydramnios or high blood pressure, high maternal.

Examine

an examination

Related inspection

Renal function test urine protein quantitation

Its characteristics are: edema is more serious, and is accompanied by high blood pressure and proteinuria.

Toxic kidney disease in pregnancy: This is the most serious disease for pregnant women. The incidence rate is high among pregnant women, and is common among young primiparas and high-grade mothers. In addition, pregnant women with excessive amniotic fluid, multiple births, hydatidiform moles, and hypertension or kidney disease are also prone to illness. According to the severity of the disease, the clinical manifestations of pregnancy edema, pregnancy-induced hypertension, mild pre-eclampsia, severe pre-eclampsia, etc., mainly manifested as proteinuria, edema, hypertension, severe cases may be associated with headache and blurred vision, vomiting, Convulsions, coma, and high mortality.

Edema, high blood pressure and proteinuria during pregnancy are three signs of danger, and all three are more dangerous. Once edema, hypertension and urine protein are getting worse, oliguria, renal dysfunction, acidosis, etc., indicating acute renal failure.

Diagnosis

Differential diagnosis

Differential diagnosis of systemic edema in pregnant women:

1, edema in late pregnancy: pregnant women often have varying degrees of edema in the late pregnancy, a little retreat after rest, no protein in the urine, blood pressure is not high. This is due to the increased uterus compressing the inferior vena cava and obstructing blood flow.

2, obese edema: seen in the body of obesity, the edema is mostly located in the lower limbs. This is because obese people have thick skin under the skin, blood vessels are easy to dilate, blood hoards, and lower extremity venous pressure increases, and edema will occur.

3, idiopathic edema: mainly in the body drooping part, almost only in women, related to mood and body position, increased in the upright position. It is caused by abnormal endocrine function and abnormal reaction of straight steric position.

4, premenstrual edema: about 25% of women in the first 10 to 14 days before the occurrence of mild edema, may be associated with breast pain and small anal weight, postmenstrual edema naturally subsided.