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    Calcium and Preeclampsia

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    Preeclampsia is a pregnancy complication characterized by high blood pressure and excess protein in the urine after 20 weeks of gestation. Risk factors include obesity, chronic hypertension, diabetes, and advanced maternal age. Calcium supplementation is recommended as a preventative measure, especially for women with low calcium diets. The World Health Organization recommends 1.5-2.0 grams of elemental calcium daily for at-risk populations to reduce the risk of preeclampsia by 64%. Food sources of calcium include dairy products, leafy greens, soybeans, and calcium-fortified orange juice.

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    Calcium and Preeclampsia

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    api-510817155
    63 views10 pages
    Preeclampsia is a pregnancy complication characterized by high blood pressure and excess protein in the urine after 20 weeks of gestation. Risk factors include obesity, chronic hypertension, diabetes, and advanced maternal age. Calcium supplementation is recommended as a preventative measure, especially for women with low calcium diets. The World Health Organization recommends 1.5-2.0 grams of elemental calcium daily for at-risk populations to reduce the risk of preeclampsia by 64%. Food sources of calcium include dairy products, leafy greens, soybeans, and calcium-fortified orange juice.

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    Preeclampsia is a pregnancy complication characterized by high blood pressure and excess protein in the urine after 20 weeks of gestation. Risk factors include obesity, chronic hypertension, diabetes, and advanced maternal age. Calcium supplementation is recommended as a preventative measure, especially for women with low calcium diets. The World Health Organization recommends 1.5-2.0 grams of elemental calcium daily for at-risk populations to reduce the risk of preeclampsia by 64%. Food sources of calcium include dairy products, leafy greens, soybeans, and calcium-fortified orange juice.

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    Download as pptx, pdf, or txt
    63 views10 pages

    Calcium and Preeclampsia

    Uploaded by

    api-510817155
    Preeclampsia is a pregnancy complication characterized by high blood pressure and excess protein in the urine after 20 weeks of gestation. Risk factors include obesity, chronic hypertension, diabetes, and advanced maternal age. Calcium supplementation is recommended as a preventative measure, especially for women with low calcium diets. The World Health Organization recommends 1.5-2.0 grams of elemental calcium daily for at-risk populations to reduce the risk of preeclampsia by 64%. Food sources of calcium include dairy products, leafy greens, soybeans, and calcium-fortified orange juice.

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    © All Rights Reserved
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    of 10

    Calcium and

    Preeclampsia
    Preeclampsia

    HYPERTENSION IN PREGNANCY USUALLY OCCURS IN SECOND HALF DEFINITIVE CAUSE IS UNKNOWN –


    ACCOMPANIED BY EXCESS OF PREGNANCY (>32 WEEKS MOST THOUGHT TO BE RELATED TO
    PROTEIN IN THE URINE COMMONLY) PLACENTAL MALFORMATION
    Signs and
    Symptoms

    • Swelling of the hands, feet, and face


    • Headaches
    • Shortness of breath
    • Decreased urine output
    • Weight gain due to water retention (3-
    5 lbs/week)
    • Headache
    • Blurred vision
    • Nausea/vomiting
    Obesity

    Chronic hypertension
    Risk
    Factors Advanced maternal age (>35
    years of age)

    Diabetes mellitus or gestational


    diabetes
    Baby:

    • IUGR due to restricted blood supply


    • Preterm delivery

    Mother:

    Concerns • Eclampsia – seizures than may result in


    coma
    • HELLP – hemolysis, elevated liver enzymes,
    low platelets
    • Associated with increased morbidity and
    mortality
    • Cardiovascular complications –
    hypertension, ischemic heart disease,
    kidney disease; stroke, VTE
    SMOKING CESSATION WEIGHT LOSS PRIOR TO
    PREGNANCY IF
    OVERWEIGHT

    Prevention

    APPROPRIATE WEIGHT MANAGEMENT OF


    GAIN DURING PREGNANCY CHRONIC DISEASES (HTN,
    DM)
    Encouragement of dietary calcium is
    primary goal

    In populations with low calcium intake,


    WHO recommends daily supplementation
    Calcium of 1.5-2.0 grams of elemental calcium.
    • Current RDA: 1000-1300mg

    Studies showed a 64% risk reduction in at-


    risk populations
    Where to find
    •calcium
    Fortified OJ: 300 mg/8 oz
    • Soybeans: 260 mg/cup
    • Kale: 100 mg/cup
    • Dairy
    • Milk: 300 mg/8 oz
    • Plain yogurt: 300 mg/6 oz
    • Cheese: 200 mg/1 oz
    Calcium Supplementation:
    Who and When

    • Women at higher risk for preeclampsia


    • Calcium-deficient diets
    • WIC packages provides about 500 mg calcium daily,
    assuming pregnant woman is consuming entire package
    • Supplements should contain no more than 500 mg/serving
    • Should be taken several hours apart with meals but not with
    excessive iron or with prenatal vitamin
    • Prenatal vitamins contain about 300mg of calcium
    • Total daily calcium should not exceed 2.5g
    • WHO recommendations on antenatal care for a
    positive pregnancy experience. Geneva: World
    Health Organization; 2016
    (https://www.who.int/reproductivehealth/publ
    ications/maternal_perinatal_health/anc-
    positive-pregnancy-experience/en/).
    References • Imdad A, Jabeen A, Bhutta ZA. Role of calcium
    supplementation during pregnancy in reducing
    risk of developing gestational hypertensive
    disorders: a meta-analysis of studies from
    developing countries. BMC Public Health.
    2011;11 Suppl 3(Suppl 3):S18. Published 2011
    Apr 13. doi:10.1186/1471-2458-11-S3-S18

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