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NSG 124.6 Delivery Room Exposure
Presented by:
Fatmah Sarah M. Cornell
Pregnancy Induced Hypertension
 Table of contents

1 2 3
Overview of the Causes and Risks Signs and
Disease Symptoms

4 5 6
Treatment Case Sharing Journal Sharing
01 Pregnacy Induced Hypertension
Pregnancy induced Hypertension (PIH) is a form of high blood pressure in pregnancy. It occurs in
about 7 to 10 percent of all pregnancies. Another type of high blood pressure is chronic
hypertension - high blood pressure that is present before pregnancy begins.

Pregnancy-induced hypertension is also called toxemia or preeclampsia. It occurs most often in

young women with a first pregnancy. It is more common in twin pregnancies, and in women
who had PIH in a previous pregnancy.

Eclampsia is a severe form of pregnancy-induced hypertension. Women with eclampsia have

seizures resulting from the condition. Eclampsia occurs in about one in 1,600 pregnancies and
develops near the end of pregnancy, in most cases.
01 Pregnacy Induced Hypertension
HELLP syndrome is a complication of severe preeclampsia or eclampsia. HELLP syndrome is a
group of physical changes including the breakdown of red blood cells, changes in the liver, and
low platelets (cells found in the blood that are needed to help the blood to clot in order to
control bleeding).

Usually, there are three primary characteristics of this condition, including the following:
 high blood pressure (a blood pressure reading higher than 140/90 mm Hg or a significant
increase in one or both pressures)
 protein in the urine
 edema (swelling)
 02 Causes and Risks of the Disease
Some conditions may increase
B the risk of developing
PIH, including the
The cause of PIH is following:
A unknown.  pre-existing hypertension
(high blood pressure)
 kidney disease
 diabetes
 PIH with a previous
pregnancy
 mother's age younger than
20 or older than 40
 multiple fetuses (twins,
triplets)
 Signs and Symptoms

The following are the most common symptoms of high blood pressure in pregnancy.
However, each woman may experience symptoms differently. Symptoms may include:
 increased blood pressure
 protein in the urine
 edema (swelling)
 sudden weight gain
 visual changes such as blurred or double vision
 nausea, vomiting
 right-sided upper abdominal pain or pain around the stomach
 urinating small amounts
 changes in liver or kidney function tests
 Treatment

Specific treatment for pregnancy-induced hypertension will be determined by your physician based
on: 
 your pregnancy, overall health and medical history
 extent of the disease
 your tolerance for specific medications, procedures, or therapies
 expectations for the course of the disease
 your opinion or preference
 Treatment

The goal of treatment is to prevent the condition from becoming worse and to prevent it from causing other
complications. Treatment for pregnancy-induced hypertension (PIH) may include:

 bedrest (either at home or in the hospital may be recommended).

 hospitalization (as specialized personnel and equipment may be necessary).
 magnesium sulfate (or other antihypertensive medications for PIH).
 fetal monitoring (to check the health of the fetus when the mother has PIH) may include:
 fetal movement counting - keeping track of fetal kicks and movements. A change in the number or
frequency may mean the fetus is under stress.
 nonstress testing - a test that measures the fetal heart rate in response to the fetus' movements.
 Treatment

 biophysical profile - a test that combines nonstress test with ultrasound to observe the fetus.
 Doppler flow studies - type of ultrasound that uses sound waves to measure the flow of blood through a
blood vessel.
 continued laboratory testing of urine and blood (for changes that may signal worsening of PIH).
 medications, called corticosteroids, that may help mature the lungs of the fetus (lung immaturity is a
major problem of premature babies).
 delivery of the baby (if treatments do not control PIH or if the fetus or mother is in danger). Cesarean
delivery may be recommended, in some cases.
Case & Journal
Sharing
 Diagnosis

Mercury Venus Mars

Mercury is the closest Venus is the second planet Despite being red, Mars is
planet to the Sun from the Sun actually a cold place

Jupiter Saturn Neptune

It’s the biggest planet in Saturn is composed of Neptune is the farthest
the Solar System hydrogen and helium planet from the Sun
 Prevention

1 2 3 4

Mars Mercury Jupiter Saturn

Despite being red, Mercury is the It’s the biggest Saturn is
Mars is a cold closest planet to planet in the Solar composed of
place the Sun System hydrogen
 Treatment

Venus Mercury
Venus has a beautiful name and is the Mercury is the closest planet to the
second planet from the Sun Sun and the smallest one
 Recommendations

What not to do What to do

● You can describe here what the patient
shouldn’t do
● You can describe here what the patient
shouldn’t do
● You can describe here what the patient
shouldn’t do
● You can describe here what the patient
should do
● You can describe here what the patient
should do
● You can describe here what the patient
should do
 Prevalence

1 2
Mars
1 Despite being red,
Mars is a cold place

Jupiter
2 It’s the biggest planet
of them all
Conclusions

1 Despite being red, Mars is a cold

place, not hot

2 It’s a gas giant and the biggest

planet our Solar System

3 It’s a gas giant, composed mostly

of hydrogen and helium
 Our Team

Dr. John James Dr. Jenna Doe

You can replace the image on the You can replace the image on the
screen with your own one screen with your own one
Introduction
Mercury is the closest planet to the
Sun and the smallest one in the
Solar System—it’s only a bit larger
than the Moon
 References

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

 Mockup

Mercury is the closest planet to the

Sun and the smallest one in the
Solar System—it’s only a bit larger
than the Moon
Awesome Words
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