Is it possible to prevent gestures?

The best prevention of gestosis is regular prenatal examinations. There, the signs of gestation are observed and treatment can be started early to reduce the risk of complications. If pre-eclampsia has occurred in a previous pregnancy, the gynecologist may recommend treatment with acetylsalicylic acid (ASA) until the 36th week of pregnancy to prevent the patient’s recurrence. If the patient has already had a seizure during pregnancy, or if a seizure is considered likely, she should be treated with magnesium sulfate.

Blood test

In addition to urine tests, blood pressure measurements and ultrasound examinations, the blood test is also an important diagnostic tool for the detection of a gesture. In preclampsia, proteins in the blood are reduced because they are excreted in greater amounts via the kidneys (proteinuria). Due to the lowered protein concentration in the blood, the blood water flows through osmolar forces into the surrounding connective tissue and is thus absent from the blood.

In relative terms, this increases the proportion of blood cells (hematocrit) and the proportion of carrier proteins for oxygen in red blood cells (hemoglobin) in the total blood. In eclampsia, the proportion of blood cells (hematocrit) and the proportion of carrier proteins for oxygen in red blood cells (hemoglobin) in the total blood is increased. In addition, due to limited renal activity, the body’s breakdown substances that are excreted via the kidneys can be increased in the blood (uric acid, creatinine and urea). Three important blood parameter ranges play a decisive role in the recognition of a HELLP syndrome:

First, the number of platelets is reduced (thrombocytopenia).
Second, signs of red blood cell decay (hemolysis) are seen in the blood. Hemolysis signs are a reduced value of a removal protein (haptoglobin) for the carrier of oxygen in red blood cells (hemoglobin in erythrocytes), a reduced value of an enzyme (LDH) that is present in all cells, an increased value of a breakdown product of red blood cells (bilirubin), a decreased value of the proportion of blood cells in the total blood (hematocrit) and a decreased value of the carrier protein for oxygen in red blood cells (hemoglobin).
Thirdly, in HELLP syndrome, important liver enzymes (transaminases) such as GOT, GPT are elevated.
In addition, blood coagulation values such as fibrinogen (an important coagulation factor) and antithrombin III are lowered, while fibrinogen cleavage products are increased.