Melahat Emine DÖNMEZ, Tülay ÖZLÜ, Ahmet KARATAŞ

İkinci Evlilikte Görülen Şiddetli Preeklampsi; Olgu Sunumu

Preeklampsi, gebeliklerin yaklaşık %8’ini ilgilendiren, hipertansiyon, proteinüri ile karakterize oldukça kompleks multifaktöryel bir hastalıktır. Multipar kadınlarda daha az ve daha hafif gözlenmektedir. Hakim olan görüş, ilk gebelikten sonra annenin immün sisteminin babanın antijenlerini tanıdığı ve takip eden gebeliklerde tolerans geliştirdiğidir. Eş değiştiren multipar kadınların daha fazla preeklampsi riski bulunduğu gösterilmiştir. Burada ikinci evliliğinde erken başlanğıçlı şiddetli preeklampsi gelişen bir olgu sunulmuştur.

Anahtar Kelimeler:

Preeklampsi, ikinci evlilik, multiparite

Severe Preeclampsia with Second Marriage; A Case Report

Preeclampsia is an extremely complex multifactorial disorder, characterised by hypertension, proteinuria, and complicates up to 8% of pregnancies. It occurs less frequently, and also less severe in multiparous women. The current hypothesis is that the maternal immune system has ‘recognised’ the paternal antigens after the first pregnancy, than establish a greater immune tolerance against the same antigens in following pregnancies. It was shown that, multiparous women had a higher risk of pre-eclampsia or hypertension after changing partner in the following pregnancy. Here in, a case report, developing early-onset severe preeclampsia from second marriage was presented.

Keywords:

Pre-eclampsia, second marriage, multiparity,

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