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Principles of treatment of late toxicosis
Last reviewed: 23.04.2024
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Recommend the following:
- possible elimination of any irritations;
- systematic, systematic introduction of narcotic drugs, preventing seizures, and not expecting their occurrence; while never forgetting the basic principle of the method - seizures should be interrupted, and if they are repeated, the introduction of narcotic drugs should be strengthened and even increased;
- possibly fast, but usually not forced delivery - forceps, twist, extraction with breech presentation;
- maintenance in the best condition of all the main functions of the body - breathing, the activity of the heart, kidneys and skin;
- if seizures continue, despite the sufficient use of medications, shows the bleeding of about 400 ml of blood;
- if, despite the application of these measures, seizures still continue and the sick pregnant woman or the woman in childbirth is at the beginning of labor, the forced delivery is shown;
- except for bloodletting with an improved preventive method, more vigorously inject drugs in the first 2-3 hours of treatment.
Childbirth with nephropathy can usually occur, but often complications such as fetal hypoxia, prolonged delivery, premature detachment of the normally located placenta, the transition of nephropathy to preeclampsia and eclampsia.
In childbirth, you should carefully monitor the status of the mother in childbirth, carry out an integrated treatment of nephropathy together with the anesthesiologist, perform adequate analgesia of the childbirth, perform prophylaxis and treatment of fetal hypoxia, according to indications - turn off attempts.
All vaginal manipulations, measurement of blood pressure, injections should be carried out against the backdrop of an oxy-oxygen mixture (anesthesia).
Caesarean seldom with eclampsia in modern conditions is shown when:
- persistent seizures of eclampsia, despite treatment;
- coma;
- hemorrhage into the fundus, retinitis, retinal detachment;
- anuria and pronounced oliguria.
In the III period of labor, bleeding prevention should be carried out.
In the early and late postpartum periods, women with late toxicosis are subject to examination and treatment with the involvement of a therapist. After discharge from the hospital, they must be supervised by an obstetrician and other specialists (therapist, nephrologist). This contingent of patients should be rehabilitated.
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