Volume 4, Issue 3 ( Journal of Clinical and Basic Research (JCBR) 2020)                   jcbr 2020, 4(3): 29-33 | Back to browse issues page

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Khorsandi B, Asadi L, Moradi M. Hypertensive Chorioretinopathy in Preeclampsia: A Case Report. jcbr. 2020; 4 (3) :29-33
URL: http://jcbr.goums.ac.ir/article-1-272-en.html
1- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2- . Midwifery Department, Faculty of Medical Sciences, Gorgan Branch, Islamic Azad University, Gorgan, Iran , m.moradi48@yahoo.com
Abstract:   (183 Views)
Background: Hypertensive disorders of pregnancy are one of the most important and controversial unresolved issues in obstetrics. These disorders are one of the leading causes of maternal morbidity and mortality. Clinical manifestations of severe preeclampsia include severe headache, blurred vision, epigastric pain, hypertension and severe edema. The key to treating preeclampsia and vision disorders is controlling blood pressure, preventing seizures and labor induction. We herein report a case of preeclamspia with hypertensive chorioretinopathy.
Case description: A 23-year-old, G2P1L1, 35-week pregnant woman was presented with complaints of headache, dizziness, blurred vision in the left eye, lower extremity edema and less severe generalized edema. The patient was hospitalized with diagnosis of severe preeclampsia after further investigations. Given that the patient was not in the delivery stage, labor induction via cesarean section was carried out. The patient was then hospitalized in the coronary care unit for 24 hours and was later transferred to the gynecology ward. At day four of hospitalization, the patient fully recovered and was discharged.
Conclusion: Headaches and vision problems are common complains of most women with severe preeclampsia and eclampsia, which require immediate attention of obstetricians and midwives. It is recommended to immediately refer mothers with severe symptoms to a center equipped with intensive care for proper management of the maternal and fetal complications of preeclampsia
     
Article Type: Research | Subject: Basic medical sciences
Received: 2020/10/14 | Accepted: 2020/08/20 | Published: 2020/08/20

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