Health

Beyoncé had toxemia when pregnant with her twins — here's what you need to know about the condition

beyonce coachella
Beyoncé revealed she had toxemia when pregnant with her twins, Rumi and Sir. Larry Busacca/Getty Images for Coachella
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Beyoncé's new Netflix documentary "Homecoming" is packed with action from her iconic 2018 Coachella performance, but the documentary also offers a look into the songstress's personal life and the complications she faced during her pregnancy with twins Rumi and Sir.

In the film, Beyoncé said she had to cope with toxemia, a pregnancy complication characterized by high blood pressure, weight gain, and protein in the urine. "My body went through more than I knew it could. I was 218 pounds the day I gave birth. I had an extremely difficult pregnancy," she said in the film.

Beyoncé also detailed her complicated pregnancy in a personal essay in the September 2018 issue of Vogue.

In the essay, the mom of three wrote she was "swollen from toxemia and had been on bed rest for over a month" during the time. Ultimately, the condition caused her to have an emergency C-section to deliver the twins. Following the birth, she and the twins spent weeks in the NICU.

"I was in survival mode and did not grasp it all until months later," Beyoncé wrote. 

 

Toxemia is another name for preeclampsia

According to The Preeclampsia Foundation, preeclampsia is defined by high blood pressure and protein in your urine. It usually occurs after the 20th week of pregnancy, and can also happen up to six weeks postpartum. 

The condition is fairly rare, affecting about five to eight percent of pregnancies, according to Healthline. This may not seem alarming but preeclampsia is known to cause bleeding problems, damage the liver and cause the "breaking away of the placenta from the uterine wall." 

Preeclampsia can be deadly if left untreated

According to the Preeclampsia Foundation, the condition is the leading cause of maternal and infant illnesses and deaths. It is estimated to be responsible for 76,000 maternal and 500,000 baby deaths annually.

The foundation notes that the mother's death usually occur when preeclampsia escalates to either eclampsia, a condition that leads to seizures, or HELLP Syndrome (hemolysis, elevated liver enzymes, and low platelet count,) which affects the how the blood clots and how the liver functions. 

When it comes to the baby, the National Institute of Child Health and Human Development notes that preeclampsia can make it difficult for oxygen and nutrients to reach a fetus in the womb. This can cause stillbirths, preterm births. or infant deaths. 

Doctors have yet to pinpoint one cause of preeclampsia

According to Healthline, potential causes of preeclampsia include, "genetic factors, diet, blood vessel problems, and autoimmune disorders."

Additionally, the site notes that there are certain shared traits among people with higher rates of preeclampsia. Some of these include "being over the age of 35" and "being pregnant with multiple fetuses" — both of which were the case for Beyoncé, who was 35 years old at the time of her pregnancy. 

Beyonce smiling Grammy 2017 performance
Beyoncé performing at the 2017 Grammy awards while pregnant with twins.  Getty

There are numerous symptoms of preeclampsia

OB-GYNs are trained to look for symptoms of preeclampsia, but it never hurts to monitor yourself.

According to Healthline, symptoms include a persistent headache, abnormal swelling in your hands and face, sudden weight gain, and changes in your vision. In more serious cases, you need to watch for seizures and fluid in your lungs. 

If your doctor finds you are positive for preeclampsia, they can immediately perform tests to verify your baby is healthy.

There is no cure for preeclampsia, but there are some things you can do to reduce further complications

According to Healthline, you will likely be advised to go on bed rest, consume less salt, drink more water, and make sure you are going to the doctor frequently. For more serious cases, you may be admitted to the hospital to be closely monitored so you don't endanger yourself or your baby. 

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Julia Naftulin
Julia Naftulin is an editor on Business Insider's Special Projects team, where she leads editorial initiatives spanning the business, tech, and lifestyle spaces.She has launched and managed series covering how companies adopt and implement AIthe business of food, the 2026 World Cup, and innovation in supply chain management, as well as projects like the AI Power List.Previously, Julia served a five-year tenure as health reporter at Business Insider, covering general wellness and the intersection of relationships, psychology, and culture.Julia reported on the life of a Wall Street accountant-turned-professional-girlfriend, took readers inside Goop's first cruise, explored the dating industry, and delved into the latest plastic surgery trends. She was also Business Insider's resident relationship advice columnist, penning the now-defunct column Doing It Right.She has held editor roles at Health.com and Dotdash Meredith. Her work has been published in Health magazine and on Time, Apartment Therapy, The Knot, and Bicycling.com.Julia graduated from Syracuse University with a Bachelor of Science in Magazine Journalism. Julia lives in Philadelphia with her dachshund, Gretchen.
Alex Archambault is an editorial intern at INSIDER. She is a 2018 graduate of Syracuse University where she studied Newspaper and Online Journalism as well as Information, Management and Technology.