Preeclampsia | Reproductive system physiology | NCLEX-RN | Khan Academy
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- Опубликовано: 5 окт 2024
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The most elegent ,smooth,and comprehensive lecture about pre eclampsoa and eclampsia in almost 14 minutes.
Thank you for your talented lecture.keep giving.
Prof Mounir Elhao
Ain shams university
Cairo Egypt.
This video site is better than whole university.!!!!
😂😂😂
Preeclampsia survivor here. Needed to see this to understand the biology of what happened to me and why. I developed preeclampsia in matter of few hrs and had 4gm of protein in urine when tested. Baby was delivered within fews hrs of diagnosis (we could only take one corticosteroid shot) and delivered my son at 29+3 gestational age. He’s almost 15months now (adjusted 1year)
Best explanation of Preeclampsia I've ever seen. I had severe preeclampsia 14 years ago, which lead to an urgent c-section in 28 week, my son was born weighing just 950 grams, fortunately he's perfectly healthy teen now. I never had the courage to have another baby though, since we both hardly survived that nightmare.
You're a blessing. Thank you sooo much for sharing your knowledge with others. I just started in Labor and Delivery. This lecture is so helpful for a visual learner.
I love smart people. Makes the world just a better place to live and understand.
This video was so easy to follow. I feel like I understand pre-eclampsia WAY better than ever before. Thank you!
This means a lot to me because I have been trying to wrap my head around the pathophys and how it influences the clinical presentations
doing review questions and watching these videos from khanacademy is the best combo ever for studying for the nclex.
This is awesome, THANK YOU. I'll have Gynecology exam on Monday, so THANK YOU again!
Vittorio Napoli ci sto preparando gli ultimi esami su questo sito
Thank you for this succint description of preeclampsia
and eclampsia. I has HELLP syndrome at 22 weeks and the doctors delivered my baby but they refused to save him because he was 22 weeks and had IUGR. They 100 % believed he would not survive. This happened three weeks ago and we had his funeral service yesterday. I have been tying to understand why this happened when I had no history of hypertension before pregnancy and not until my checkup at 22 weeks. The placenta was never studied so I don’t know if the blood vessels were abnormal. And I was not tested for any placental factors. But I had every symptom of preeclampsia you described. I had a BMI of 29 before peeganancy. I gained four pounds by 21 weeks and gained 10 pounds by 22 weeks definitely from edema. I had incredible neck pain and stiffness since week 20. I had really bad lower ligament pain since 15 weeks. I felt bloaded right between my chestbone by my stomach throughout pregnancy. Everything was completely back to normal two weeks after delivery. Do you know what I can do to decrease my risk of abnormal placental formation and preeclampsia in the future?
First of all, I am so, so sorry for your loss.
Secondly, unfortunately there is nothing you can do to control the proper growth of the placenta & umbilical cord. However, there are a few things you can do to keep the life-threatening symptoms in check.
1. Start low dose (81mg) aspirin 2x a day as soon as you find out you're pregnant. 1 in the morning, 1 before bed. Aspirin is a vaso-dilator and a blood thinner, which allows your blood vessels to relax and your thin blood is favorable for passing through those blood vessels.
2. Eat potassium rich foods. Potassium is key in helping kidney function, as HELLP is characterized by proteinuria and kidney damage. When you consume potassium rich foods, they allow for better kidney filtration. Bananas, dark leafy greens, sweet potatoes, etc.
3. Avoid sodium! HELLP is a type of hypertension, and hypertension is caused/made worse by eating a lot of salt. When you have HELLP, your kidneys hold onto sodium, which also contributes to the swelling that characterizes this disease.
4. Drink lots of water. 8-10 glasses a day is recommended. Make sure the water you're drinking is safe to drink. Lead poisoning from water has been linked to preeclampsia and HELLP. Drinking water with your potassium rich foods will help filter your kidneys to their best ability.
5. Relax. Put yourself into a healthy, calm mindset. Do light exercises like yoga, stretching, and walking. Stress is absolutely directly linked to hypertension, so avoid getting overly emotional (I know. It's almost impossible when you're pregnant). When you find yourself in a stressful or upsetting situation, stop and take a moment to take big, deep breaths and focus on relaxing yourself. Meditation has been shown to help this part of the disease.
Again, I am so sorry this happened to you. I developed HELLP at 24 weeks and by some miracle I delivered at 26+3 and was able to save my son. Unfortunately as of right now, there are only a few hospitals in the United States (I don't know where you are) that allow mothers to deliver and try to keep their babies alive at 22 weeks. People are making pushes to change this. You and mothers in your situation deserve so much better. I will be praying that you have a healthy pregnancy and give birth to a healthy, happy baby. ❤️ Best of luck to you.
Very well done! Exactly the kind of explanation I have been looking for and the drawings! Thank you!
you are so detailed, but its still easy to understand you. All your cideos make so much sense thank u.
Wonderful teaching! It is my dream to work in labour and delivery so I love learning about this stuff, I am currently an RPN. I know I need my bachelors and to write my RN to work in L&D but this may help me for the future! All the concepts explained here were very easy for me to understand.
such a good impart of knowledge... so clearly explained!
thank you so much for this video! I'm studying for the NCLEX and this has helped so much in understanding preeclampsia
To the narrator. I learned so much from your lesson and maybe picked up a slight Canadian accent? Thank you for helping me to understand. Very informative and thorough. I've always heard about this condition but am currently living this with my daughter.
Great and understandable information. My wife just had early delivery due to seizures of HELLP and this video explained us what was the root cause after all.
what about now after that your wife have got safe pregnant or not please tell me.
Amazing lecture... Nurse from Ireland here... really enjoyed that
Nice video! A note though, you state that preeclampsia always resolves with the delivery of the placenta, but there are in fact moms who develop preeclampsia postpartum as well. But overall very helpful! I work as an L&D nurse in Michigan and we see so much pre-E.
I agree. I had no hypertension issue during or before pregnancy, but I was diagnosed with pre-eclampsia around 35th week because of protein in my urine. I was induced at the starting of 37th week and after a week of delivery I had an episode of high blood pressure and had to rush to ER. Since then, I was put on medicine for HTN. Can you please let me know what are the symptoms of pre-eclampsia postpartum? How to diagnose it?
Thank you so much for the most precise lecture on preeclampsia :)
Not bad. It is actually indeed a good explanation of hypertension in pregnancy. I understood the pathophysiology pretty well now. Thanks.
Excellent video thank you
Joyce Cowan ( Director, New Zealand Action on Pre-Eclampsia)
Wow, amazing video to get whole information about gestational hypertension. I do not need to read a whole book to spend hours to try to understand. Thank you so much, please make more a video like this. Also, she is so calm, smooth, knowledgeable. 5 star
Thank you for explaining this so well. I recently suffered from preeclampsia with severe features.
Her voice is so sweet!
Wonderful.... Thank you for making things simple and interesting!!!
I have postpartum preclampsia never had problems with high blood pressure. At 39 weeks I was having severe symptoms of preclampsia they sent me home saying I had a uti that was causing all of this I gave birth and a day after had headaches that painkillers couldn't get rid of its 2 months now and I'm on high blood pressure pills I feel so unwell some days knowing I was this active mom I want to be healed of this condition I could have died and I can have a stroke seizure or brain damage if not properly monitored
This video was an extremely helpful tool for a new Labor and Delivery nurse. Thank you so much for this much needed and well explained video!
Your videos make a lot of sense and are very easy to follow, thank you so much
Thank you. Extremely informative. Our doctor gave us very little information about this after telling my wife that she had it. Thank you thank you thank you
Pathophysiology crystal clear! THANK YOU :)
This is so very well explained! The best teacher!
Thank you so much for taking the time to explain preeclampsia. It is very insightful. I appreciate it deeply.
this makes so much sense now thank you!!!
Now I feel more prepared for simulation today. Thanks for putting all that info in 13 minutes!
Thanks, I really needed to hear this! Also very well explained.
This was simply awesome. Elegant, comprehensive and just a pleasure to watch. Thank you so much :)
Excellent video as usual however, new research states that delivery dies not cure preeclampsia as previously thought. Moms are at risk for up to 6 weeks postpartum. AGOC released new protocols in 2013.
thank u so much for this lecture... & its only in 14 mins ... I learned so much within dis short period...
Amazing presentation!!! Thank you so much, this was beyond helpful!!!
Thank you so much. Now i get how the placenta comes into play.
Why do you get seizures? What's the mechanism? Or is that unknown?
Pure brilliance! Thank you so much for this informative video.
WOW!!! why have the doctors & specialists not explained any of this to my 18 yr old who is in hospital right now getting ready to be induced at 36 wks due to POSSIBLY getting worse, not because she is getting worse ??
But if she discovered her chronic hypertension after 20 weeks, how do we make the deference between it and gestational hypertension?
Thank you for the clear explanation on this topic. I lost my twin boys at 22 weeks due to preeclampsia. I always wonder if things would turn out ok for all three of us if I push on with the pregnancy. Based on what I learned here, it's highly unlikely. This video helps me to find closure of what had happened. Thank you.
Wow just another amazing lecture!!
Best explanation on line by far!
Thank you very much, i now have better understanding
In the history taking for the development of Pre-eclampsia : Pre-eclampsia may come from the mother in law of the woman who is pregnant - Probably pointing to the fact that it also has an auto-immune basis.
X chromosomes have something to do with immunity - woman have 2 X chromosomes, this is probably one of the reasons why women are more likely to develop auto-immune diseases - for eg -
Grave' s disease; Hashimoto's thyroditis; Multiple sclerosis; Myasthenia Gravis; Systemic Lupus Erythematosus(SLE)(Lupus); Rheumatoid arthritis; Sjögren's syndrome.
It adds up because the husband of the woman who is pregnant has his X chromosome from his mother.
Excellent source for med students, thank you!!
In times like these counting on these videos help out a lot
Such a great lecture!!!
Very clear, it all makes sense now, thank you
Simple and easy to follow. Thank you
Very good lecture! Nitpicking I know, but you probably the Starling Equation. Starling law is regarding the heart. It is also interesting if MgSo4 is used in every woman with preeclampsia in the US. In Norway it is only used if the preeclampsia is rapid, and severe. Thanks
habbahabbahabba I had severe preeclampsia and never got mag. Not everyone in America gets mag if they have preeclampsia
I'm confused.
Is hypertension occurring to compensate for decreased O2 supply or is it purely a symptom of endothelial cell damage? just wondering in relation to treating hypertension, if it is a compensatory mechanism wouldn't it be harmful to lower the blood pressure as less blood would make it to the placenta? or is it a situation where we are trying to lower BP to avoid damage to mum but not cut off supply?
It was really helpful for my biology study!!
Was struggling to understand this!!!
Thank You so much!🙏🏾
Really great videos i hope you make a french version of all of your videos ... i know it's much but it would very helpful
Very useful video. Thank you!!!!!
the way you explained..:-) thank you very much
amazing, thank you very much for explanation
It is so good.so easy to understand.
Thank u very much.
what about postpartum preeclampsia/eclampsia?
I just found out ive had postpartum for 5 years. Im a suicide attempt survivor...almost died last year because of postpartum im in shock
Thus video helping me so much. Thanks
wow very good ! even Ten Teachers Obstetrics textbook does not provide explanation as easy as this despite being the bible for obgyn! Thanks for saying my time !
splendid lectures.Thank you so much
I just wanted to add protein in the urine is not necessary for diagnosis of preeclampsia anymore. The APA changed it.
very knowledge gaining nd amazing lecture
Thank God you were created.
Thank you.
I love the insight of differentiating between gestation and pre existing HTN. #birthinglittlehumans
I had this and postpartum hypertension.
I'm also going through delayed post partum preeclampsia after loosing a child. How are you now and for how long you are suffering from this?
@@niloferakhtar8123 Hello! I am so very sorry about your child. I too lost a baby back in 1993 due to an accident-she was 2 and my only child at the time. It is a deep dark valley of sorrow. My heart breaks for you. I had my last surviving baby back in 2006. I had high blood pressure for about 4 years (but treatment helped keep it stable). After 4 years, I slowly weaned myself off of the clonidine patch (you have to do this with some medications as rebound hypertension can occur), but when I finally came off that medicine, I was fine. Normal bp....I had lost a lot of weight and that helped me. Cutting out added salt helped-gosh I loved salt. You must get rest and put yourself first. I remember the swelling of hands, feet, and face, the uncontrollable spasms in the pad of my hands under the thumb...it was scary at the time. I ended up going back to work at teaching because I figured if I was going to have a medical emergency, it would be more likely that someone would be there to get me help if needed. I am so glad I did. I had been considering taking a medical leave-that would have isolated me more. Your symptoms will likely go away with time. I was grateful that at that time, I had had all of the babies I'd ever wanted. I hope you are also at that point in your life and if you are not, I pray if you decide to have more, you are free from this!
The best explanation i have seen so far!!!
The placental factors mentioned which are responsible for all these events are: 1.VEGF antagonist and 2.TGF-beta antagonist.
It was an amazing video!!! Thank you so much!!!
Physiology student here. I had this condition. I was 19 years old and pregnant with my son. When I was 36 weeks I went for a checkup and my bp was 180/120. The doc did a urine test that checked for protein and it was positive. They immediately sent me over to be induced. 48 hours later my son was born. He was a healthy boy and weighed 5 lbs 8 ounces. we went home 2 days later. I heard if you have it once you can have it again. 6 years later I got pregnant with my second son. It went well until I was 33 weeks. I started having really bad pains. I went in to get checked, they told me I was bleeding pretty bad after doing an exam. They performed an emergency c section and my 2nd son was born weighing 4 lbs 12 ounces and had to stay in the NICU until his lungs were fully developed which was about 5 weeks. I often wondered I did develop preeclampsia again with my second son because as she lectured in this video it can lead to placenta abruption and that's what happened to me with my second pregnancy. I lost so much blood they wanted to give me a blood transfusion but I declined and opted for iron pills. I felt better within a few days but I don't carry babies well. My boys are now 19 and 13 years old and healthy as can be.
wow...so much impress . thank you very much
it's awesome video with lots of information
Mag sulfate is **not universally recommended by ACOG for women under 160/110. So "always given magnesium" is misleading
Thank u so so much for ur outstanding work!
Thank you so much! You are an awesome teacher!👏🏽👏🏽
Thank you for the explanation, which factors does the placenta release that cause the changes you described?
Very helpful
Awesome and one of the best videos ever...keep it up
Thank you, for making this video!!
Amazing video, Thank you!
Gud lecture about preeclampsia
I was wondering if you guys could do a video of postpartum preeclampsia, specifically preeclampsia that arises after the paper is born without any signs/symptoms of preeclampsia during pregnancy
Does every woman with pre eclampsia in the USA receive MgSO4 in labour, regardless of the severity of her pre eclampsia? In Australia and in The Netherlands we give it to women who show signs of cerebral irritation such as brisk reflexes with clonus. Interestingto see the differences in management in different countries
thank you for such a nice teaching
You explained soooo welllll
you are amazing . thank you so much
thank u finding it so hard to understand pre eclampsia
Thank you SO much for this video!! It is incredibly informative! I was able to learn so much without being drowned in medical terms! #birthinglittlehumans
Thanks Doc
This is so helpful
Amazing video
most helpful channel evvvvver