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Preeclampsia

Also known as Toxemia Of Pregnancy and Eph Gestosis

Pre-eclampsia or preeclampsia is a medical condition characterized by high blood pressure and significant amounts of protein in the urine of a pregnant woman. If left untreated, it can develop into eclampsia, the life-threatening occurrence of seizures during pregnancy.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with preeclampsia, 39% report having headache, 34% report having pain during pregnancy, and 31% report having problems during pregnancy. The symptoms that are highly suggestive of preeclampsia are problems during pregnancy, uterine contractions, recent pregnancy, and vaginal redness, although you may still have preeclampsia without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with preeclampsia often receive urinalysis, hematologic tests, ultrasonography, pelvis exam, glucose measurement, electrolytes panel, other diagnostic procedures (interview; evaluation; consultation) and examination of breast .

Common Medications

The most commonly prescribed drugs for patients with preeclampsia include labetalol, methyldopa, nifedipine, magnesium sulfate, enoxaparin (lovenox), hydralazine, oxytocin, rho(d) immune globulin (rhogam), rubella virus vaccine, levonorgestrel, methsuximide (celontin), dinoprostone topical and misoprostol .

Labetalol
$19
(28 days)
Methyldopa
$12
(28 days)
Nifedipine
$39
(28 days)
Magnesium Sulfate
$13
(14 days)
Enoxaparin (Lovenox)
$467
(7 days)
Hydralazine
$24
(28 days)
Oxytocin

Rho(D) Immune Globulin (Rhogam)
$166
(7 days)
Rubella Virus Vaccine

Levonorgestrel
Under $1
(0 days)
Methsuximide (Celontin)
$95
(28 days)
Dinoprostone Topical

Misoprostol
$45
(28 days)

Who is at risk?

Groups of people at highest risk for preeclampsia include race/ethnicity = other, age 30-44 years, race/ethnicity = hispanic, sex == female and age 15-29 years. On the other hand, age 75+ years, sex == male, age 60-74 years, age 5-14 years, age 1-4 years, age 45-59 years, and age < 1 years almost never get preeclampsia.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
2.8x
30-44 years
2.5x
45-59 years
0.0x
60-74 years
0.0x
75+ years
0.0x

Sex

Male
0.0x
Female
1.7x

Race/Ethnicity

Black
1.4x
Hispanic
1.5x
White
0.7x
Other
1.7x
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