How is dengue diagnosed and treated during pregnancy?
Diagnosis and Treatment of Dengue in Pregnancy Both eclampsia and pre-eclampsia are conditions occurring during pregnancy when blood pressure is uncontrolled. It is important to differentiate between the two conditions. Pre-eclampsia includes high blood pressure with proteinuria. It is common after 34th week of gestation. When pre-eclampsia is not managed properly it can develop into eclampsia which is a condition in which hypertension, proteinuria is accompanied by seizures. Risk factors include: very young or above forty aged mothers, previous history of eclampsia, obesity, patient of hypertension previously, family history of pre-eclampsia, multiple pregnancies, diseases like lupus ,sickle cell disease. Exact cause of the issue is still unknown. Sign and symptoms consist of high blood pressure, peripheral edema and weight gain within 1-2 days. Diagnosis is made on the bases of urinalysis, BP reading above 140/90. The condition cannot be treated except that life style changes are made and it is tried that delivery time can be reduced. Drugs like hydralazine may be used. Eclampsia is a medical emergency. MGSO4 is the first line drug used then lorazepam or phenytoin may be used.