Can I still get pregnant if I have severe eclampsia?

Pregnancy for women is a relatively complicated process. Although it seems to be a very normal thing and is indeed easy for healthy women, if a woman suffers from severe eclampsia, she must pay special attention. Some women have miscarriages due to this disease. So, can women with severe eclampsia get pregnant again? In principle, you should listen to the doctor's advice. It is best to consider pregnancy after undergoing treatment for a period of time and allowing your body to recover.

Some pregnant mothers unfortunately suffer from severe preeclampsia during pregnancy, which causes the baby to be born prematurely and cannot be saved. If these pregnant mothers want to give birth to their own little life again, how long will it take before they can get pregnant again? Will they get severe preeclampsia again if they get pregnant again?

Pregnant women who develop severe preeclampsia before 34 weeks have a very high risk of vaginal delivery, so most deliveries are by cesarean section; after the first severe preeclampsia delivery, some clinical manifestations will remain, such as the pregnant woman may develop chronic hypertension and residual renal damage leading to long-term proteinuria. These situations all require time for recovery and adjustment of medication treatment, so it is generally recommended that pregnant mothers wait about one and a half to two years before considering the next pregnancy.

Whether or not severe preeclampsia will occur again during the next pregnancy is affected by many factors, including the severity of severe preeclampsia during the first pregnancy, the degree of postpartum recovery, and preparation before the second pregnancy. Generally speaking, if you had severe preeclampsia early in your first pregnancy, before 34 weeks, or if you had severe preeclampsia (i.e., sudden, unexplained seizures), you may be at risk. Then, after another pregnancy, there is about a 20% chance of developing severe preeclampsia again.

Why do pregnant women suffer from severe eclampsia?

It may involve multiple factors such as the mother, placenta and fetus, including abnormal trophoblast invasion, abnormal immune regulation function, endothelial cell damage, genetic factors and nutritional factors. However, no single factor can explain all the causes and mechanisms of preeclampsia.

1. Abnormal trophoblast invasion: It may be an important factor in the development of preeclampsia. The patient's trophoblast invasion into the spiral arterioles was incomplete, the spiral arterioles in the uterine myometrium did not undergo recasting, and the abnormally narrow spiral arteries led to reduced placental perfusion and hypoxia, ultimately leading to the occurrence of preeclampsia.

2. Abnormal immune regulation: The lack or disorder of maternal immune tolerance to placental and fetal antigens from the father is an important component of the etiology of preeclampsia.

3. Vascular endothelial damage: oxidative stress, anti-angiogenic and metabolic factors, and other inflammatory mediators can cause vascular endothelial damage and induce preeclampsia.

4. Genetic factors: Preeclampsia is a multifactorial and multigenic disease with a familial genetic tendency: the incidence of preeclampsia in daughters of mothers with preeclampsia is 20-40%; the incidence of preeclampsia in sisters of women with preeclampsia is 11-37%; the incidence of preeclampsia in sisters of twins with preeclampsia is 22-47%. But until now, its inheritance pattern is unclear.

5. Nutritional factors: Lack of vitamin C can increase the risk of preeclampsia and eclampsia.

This article introduces in detail the specific reasons why pregnant women suffer from severe eclampsia. In fact, the cause of severe eclampsia is still not very clear at present. It may be caused by one reason or multiple reasons at the same time. As a pregnant woman, if you want to avoid severe eclampsia, it is best to actively avoid the factors discussed in this article.