Preeclampsia Complicated by Antenatal and Postnatal Ascitis


  •   Peter Waibode Alabrah

  •   John Agbo

  •   Eni-yimini Solomon Agoro


Hypertensive disorders of pregnancy are an important cause of severe acute feto-maternal morbidity, lasting disability and mortality. In Africa, about one-tenth of all maternal deaths are associated with hypertensive disorders of pregnancy. The majority of deaths attributable to preeclampsia can be circumvented by instituting appropriate and effective care to women presenting with complications one of which is ascitis. Ascitis can lead to dehydration, respiratory failure, heart failure and thromboembolism

Keywords: Preeclampsia, ascites, hypoalbuminaemia, heart failure .


McCormick J, Criss P. Ultrasound Detection of Massive Maternal Abdominal Ascites in the Preeclamptic Patient. J of Diag Med Sonography. 1985;1,268–271.

Calvin S, Silva M, Weinstein L. Characterization of ascites present at cesarean section. Am J Perinatol. 1991; 8:99–102.

Vaijyanath AM, Nayar B, Malhotra N, Deka D. Massive ascites in severe pre-eclampsia: A rare complication. J Obstet Gynaecol Res 2002;28:199-202

Ching Ding D, Hsu S, Su HY, Chu TW. Massive ascites in severe preeclampsia. Taiwanese J Obstet Gynecol. 2005;44:384-6

Boldt J. Use of albumin: an update. Br. J. Anaesth. 2010;104:276-84. doi: 10.1093/bja/aep393

Brown MA, Zammit VC, Lowe SA. Capillary permeability and extracellular fluid volumes in pregnancy-induced hypertension. Clin Sci (Lond) 1989;77:599-604.

Wirawan JP, Prasmusinto D. The unique presentation of massive ascites complicating severe preeclampsia and HELLP syndrome. Indones J Obstet Gynecol 2011;35-2:67-9.

Calvin S, Silva M, Weinstein L, Finley P, Witte M. Characterization of ascites present at cesarean section. Am J Perinatol. 1991;8:99-102

Cines DB, Pollak ES, Buck CA, Loscalzo J, Zimmerman GA, McEver RP et al. Endothelial cells in physiology and in the pathophysiology of vascular disorders. Blood. 1998;91:3527–61.

Woods JB, Blake PG, Perry KG, Magann EF, Martin RW, Martin JN. Ascites: a portent of cardiopulmonary complications in the preeclamptic patient with the syndrome of hemolysis, elevated liver enzymes, and low platelets. Obstet Gynecol. 1992; 80(1):87-91


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How to Cite
Alabrah, P., Agbo, J., & Agoro, E.- yimini. (2019). Preeclampsia Complicated by Antenatal and Postnatal Ascitis. European Journal of Medical and Health Sciences, 1(5).