Navigating Preeclampsia

Pregnant women checking her blood pressure

Risks, Causes and Supportive Doula Care
Embarking on the journey of pregnancy is a profound experience filled with anticipation and joy, but for some mothers-to-be, it also comes with unexpected challenges. Preeclampsia, a silent yet formidable complication, could be one of the challenges that  demands our attention and understanding during pregnancy. In this blog we briefly discuss what it is, who is at risk, symptoms, causes, the increased chances of C-section, and how a Doula can provide supportive care.

What is preeclampsia?
Preeclampsia is persistent high blood pressure during pregnancy or the postpartum period and comes WITH...

• High levels of protein in
the urine;
• Decreased blood platelets;
• Trouble with the kidneys or liver;
• Fluid in the lungs;
• Signs of brain trouble, such as seizures and/or visual disturbance;

which can cause: seizures, stroke, organ damage, premature birth for baby and death.
 
Who is at risk?
Preeclampsia occurs after 20 weeks of pregnancy until 6 weeks after giving birth. It leads to high blood pressure and can cause damage to vital organs like the kidneys and liver. The exact cause of this condition is still unknown; however, certain factors increase the likelihood of developing it, including:

1. First-time pregnancy: Women who are experiencing their first pregnancy are more vulnerable to preeclampsia.
2. Mothers who have previously had preeclampsia in their earlier pregnancies are at a higher risk of experiencing, it again.
3. Young, older, or with family history of preeclampsia increases risk of developing this condition in women.
4. Underlying health conditions such as chronic hypertension, diabetes, kidney disease, obesity, and autoimmune disorders can contribute to the development of preeclampsia.

 
What are the symptoms to be aware of?

1. Swelling of the face, especially around the eyes, swelling hands, not necessarily swelling of the feet
2. Weight gain of more than five pounds in a week;
3. Headache;
4. Changes in vision like seeing spots, flashing lights, partial or total loss of eyesight;
5. Nausea and vomiting;
6. Upper right belly pain, sometimes mistaken for indigestion or the flu;
7. Difficulty breathing, gasping or panting.

 
What might cause preeclampsia?
We don’t fully understand what causes preeclampsia to increase, but there are a few reasons we can mention.:

• Delaying having children means more women are having babies when they are older. This can increase the chances of age-related problems like preeclampsia;
• Obesity, bad eating, and not moving enough may increase the chance of preeclampsia;
• Better medical technology and more awareness could lead to better diagnoses, resulting in more reported cases of preeclampsia.

 
By gaining a better understanding and utilizing improved medical technology, a more effective treatment can develop.
 
The Likelihood of Cesarean Delivery (C-Section)
Preeclampsia can lead to needing a C-section for delivery. 

When a pregnant woman has preeclampsia, doctors watch her closely to keep both her and the baby safe.  Preeclampsia can lead to various complications during labor and delivery, making a vaginal birth more challenging and potentially risky. If this condition puts the mother or baby at risk, the doctor might suggest a cesarean delivery.

​By opting for a cesarean delivery, the medical team aims to protect the health and well-being of both the mother and the baby. It creates a controlled environment where healthcare providers can effectively manage any potential complications related to preeclampsia. A C-section is quicker than a vaginal birth, which is important during emergencies when fast delivery is necessary.
 
The Role of a Doula
A doula is a trained professional who supports expecting mothers before, during, and after childbirth. They can provide physical, emotional, and informational support to mothers with preeclampsia. Doulas also provide a sense of continuity of care for mothers experiencing a high-risk pregnancy. Doulas help and guide mothers during labor, giving them constant support until they have their baby. Having a familiar face by their side can greatly alleviate anxiety and stress for the mother. Doulas help moms with high-risk pregnancies by giving them the support they need during this tough time.
 
During labor and delivery, doulas use various techniques to help manage the discomfort associated with preeclampsia. They might recommend breathing exercises and massages to help the mother relax, relieve tension, and promote relaxation. Doulas help find comfortable positions for mothers during labor, making the process more effective. Doulas help and advocate for the mother, ensuring her decisions are respected and effectively conveyed to the doctors. They help the mother and medical team communicate better, so the mother feels listened to and understood.

​By offering continuous support, doulas create a safe and nurturing environment for the mother to give birth. They provide a constant presence, offering reassurance and encouragement throughout the entire process. This helps the mother feel calm, knowing she has someone who understands and supports her.
 
Conclusion
Preeclampsia presents a significant health concern for expectant mothers, necessitating awareness and proactive measures. The increased likelihood of cesarean delivery because of complications further emphasizes the importance of support systems like doulas. A doula can help with emotional support, giving important information, and providing physical comfort. They are very helpful for mothers and babies dealing with preeclampsia, making them feel empowered and well.
 
To learn about preeclampsia, its signs, causes, and help available, go to the Preeclampsia Foundation’s website: Home - Preeclampsia Foundation