Pre-Eclampsia (updated 2023) - CRASH! Medical Review Series

[@ShadiAlSharqawi]

2:05 Occurrence of new-onset hypertension with proteinuria at < 20 weeks' gestation is suggestive of gestational trophoblastic disease.

[@Bellacat9]

I am a Peds RN that will be cross-trained for postpartum soon. I have been watching your videos since nursing school and came back to brush up on OB. Your videos are a life saver! I just joined your patreon. Thanks again!

[@waelfadlallah8939]

The best thing is to re-watch your videos in an update form 😊

[@ellakay977]

You're saving lives Sir. I'm making sure my whole class watch your videos

[@woloabel]

(On Wednesday of March 29, 2023). On the Matter of Pre-Ecampsia (Updated 2023) by MD Paul W. Bolin (Creator of CRASH! Medical Review Series): 1) Gynecology and Pre-Eclampsia (Hypertension and Proteinuria of Pregnancy) and Obstetrics-Gynecology Therein: 1) Preeclampsia is Hypertension (140/90 mmHg) and Proteinuria (> 300 mg/dL) in a Gestating Female usually in Second Trimester (20 Week to 4-6 Week Postpartum Possible) where the Vascular Endothelium and Vasospasm therein can have Pregnancy complications without an Aetiology (Idiopathic often suggests Alloimmunogenic Hypersensitivity); Risk Factors are 1) Nulliparity (Paternal Particularity), 2) Extremes of Age; 3) Multiple Gestation; 4) Chronic Hypertension; 5) Diabetes Mellitus (Type I and II); 6) Renal Disease; 7) Paternal Mother History of Pre-Eclampsia; 8) Parental Ethnic discordance; 9) African American Ethnicity; Dx: 1) CBC; 2) CMP; 3) Hypertension; Tx via Delivery (Induced Labor) at 37th Week or Elective C-Section; Management (Mx): 1) PO Antihypetension via Labetolol; 2) IV Magnesium Sulfate (Anti-Epileptic) Prophylaxis or Treatment; 3) Attempting Vaginal Delivery; 2) Gestational Hypertension is simple Hypertension without Proteinuria usually before 20 Weeks of Gestation; 3) Chronic Hypertension in Pregnancy (Proteinuria Negative Preganacy or Stable Proteinuria); 4) Eclampsia is Hypertension along with Seizures either Postpartum or Peripartum (Last Trimester Usually); 5) HELLP Syndrome is Hemolysis (LDH Elevation and High Bilirubin) Elevated Liver Enzyme (Liver Inflammation) and Low Platelet Count (Otherwise Thrombocytopenia), a complication of Eclampsia/Pre-Eclampsia; ......TBC. MD Paul W. Bolin, es geht sehr gut zu lernen mit Ihnen. Heil!

[@MG-iw9jg]

Thanks for this update. I was beginning to wonder if you'll ever do more OB videos.

[@jasonatkins6496]

Finishing up AG-ACNP school this semester. We're having our first round of obstretrics studies. THANK YOU!

[@March90skid]

Amazing videos! thank youu😊😃

[@MA-dd9dd]

Great video

[@sheryRN]

God bless 🙏🏻

[@simongonzalez1617]

4:13 Isn't the patient at a lower risk of pre-eclampsia if she gets pregnant with the same father again?

[@razan4886]

I thought the same actually the risk is higher in first pregnancy with a new partner not second pregnancy with the same partner

[@LegoGirl1990]

When I had my youngest, I was told I had "severe pre-eclampsia" but they never tested my urine. When I asked about it, she (I don't remember if it was a nurse or ob/gyn) said the criteria had changed. This was at the end of November 2021.

[@TheTechNerd-s7g]

There is no way. They must test the urine.

[@LegoGirl1990]

IDK My BP was 186/167 so they said that was enough. 🤷‍♀ Stuck me on that magnesium shit. This time around (last weekend) they did test it and I was spilling protein. IDK seems almost like you get as many different answers as people you ask. It's irritating. @@TheTechNerd-s7g

[@amaranextdoor]

Why isn't hydrazine a choice? Here in Nigeria we use Hydralazine as an antihypertensive

[@TheTechNerd-s7g]

Ok, how can a mild preeclampsia considered mild if it is unstable?

[@TheTechNerd-s7g]

So if mild preeclampsia, preterm, and stable, we deliver at 37 weeks without giving magnesium? If mild and term, no labetalol? This is confusing.

[@victoriagolston7514]

Wow