Judith Lastrade came in via ambulance at an estimated 36 weeks of pregnancy. She was complaining of a headache for the last two days, which the paramedics report had reached a 10/10 level of severity and was accompanied by blurred vision and an elevated blood pressure, along with swelling, also known as edema, in her legs.
So, what exactly is preeclampsia, and what makes it severe? Here's how this pregnancy-related condition progresses.
Many women won't experience symptoms of preeclampsia before they are diagnosed at a routine check-up with their OB, when they are found to have high blood pressure and excessive protein in their urine.
What Is Severe Preeclampsia?
Severe preeclampsia, which is also called preeclampsia with severe features, is a progression of preeclampsia that involves an even higher blood pressure, and may also include decreased organ function, fluid in the lungs, and low platelet counts.
After developing eclampsia, Judith's baby girl was delivered via emergency C-section right there in the ER.Photograph by Warrick Page/HBO Max
HELLP syndrome typically comes on during the third trimester, and involves hemolysis (H), which is the destruction of red blood cells, elevated liver enzymes (EL), and low platelet counts (LP), which is an important component that allows blood to clot properly. It is usually seen in patients with preeclampsia, but about 20 percent of cases of HELLP do not involve high blood pressure or protein in the urine.
What Is Eclampsia?
Related: ‘The Pitt’: What Is Viral Meningitis, and What Does It Have To Do With Dr. Al-Hashimi’s Seizures?
How Do You Treat These Conditions?
The goal is to remain pregnant for as long as possible to allow the baby to develop as much as possible but, unfortunately, the only cure for these conditions is to deliver the baby. That's why Judith underwent an emergency C-section in the emergency room after she started seizing during the season final of The Pitt.
Depending on the severity of the case, the patient may also receive an infusion of magnesium sulfate, which treats the seizures associated with preeclampsia—and which Judith was given before her seizures began.
Related: 'The Pitt' Season 3 Cast: Who’s Returning and Who’s Leaving the PTMC?
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