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Preeklampsi og hypertensive svangerskapskomplikasjoner

Sist oppdatert: Sist revidert:
Sist revidert av:
Definisjon:
Et spekter av tilstander. Preeklampsi er BT ≥ 140 mmHg systolisk og/eller ≥ 90 mmHg diastolisk etter uke 20, ledsaget av proteinuri eller annen organaffeksjon. Kan kompliseres med eklampsi og HELLP
Forekomst:
Rundt 25 per 1000 svangerskap i Norge
Symptomer:
Asymptomatisk eller ved alvorlig preeklampsi hodepine, synsforstyrrelser, uro, magesmerter, raskt økende ødem eller tungpust
Funn:
Forhøyet blodtrykk ved to separate målinger, proteinuri, ev. kraftig vektøkning/ødemer, lave SF-mål, palp. øm øvre hø. kvadrant 
Diagnostikk:
BT og proteinuri undersøkes rutinemessig gjennom svangerskapet. Hb, trombocytter, ASAT, ALAT, LD, urinsyre, kreatinin ved mistanke om preeklampsi 
Behandling:
Fødsel er det eneste som gjør at tilstanden går tilbake. Kan tilsi induksjon av fødsel før termin. Antihypertensiv behandling ved BT > 150/100 mmHg
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  • Silje Folven Barlindhaug, spesialist i allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Kjell Åsmund Salvesen, overlege Kvinneklinikken St. Olavs hospital. Professor i fødselshjelp og kvinnesykdommer, NTNU