ECLAMPSIA Flashcards
WHAT IS ECLAMPSIA ?
ONE OR MORE CONVULSION IN ASSOCIATION WITH PRE-ECLAMPSIA.
WHAT IS ECLAMPSIA NOT ALWAYS PRECEDED BY ?
HYPERTENSION AND PROTEINURIA
INCIDENCE OF ECLAMPSIA
2.7 OF 10,000 BIRTHS POST 24 WEEKS.
INCIDENCES OF ECLAMPSIA
POSTPARTUM
44%
INCIDENCE OF ECLAMPSIA
ANTEPARTUM
38%
INCIDENCE IN ECLAMPSIA
INTRAPARTUM
18%
WHAT IS RECURRENCE RATE OF ECLAMPSIA?
5-30%
IS ECLAMPSIA TIME CRITICAL?
YES
SIGNS AND SYMPTOMS OF ECLAMPSIA
HEADACHE
OEDEMA
RIGHT SIDED UPPER ABDO PAIN
NAUSEA
VOMITING
BLURRED VISION
CONFUSION
FITS
WHAT ABOUT PRE-ECLAMPSIA ? THE PATHOPHYSIOLOGY
PATHOPHYSIOLOGY OF PREECLAMPSIA IS UNKNOWN.
HOW WILL ECLAMPSIA PRESENT?
TONIC CLONIC SEIZURES WITH JERKING LIMB AND HEAD MOVEMENTS.
CYANOSIS
TONGUE BITING
URINARY INCONTINENCE
HOW LONG DO ECLAMPSIA SEIZURES USUALLY LAST?
90 SECONDS AND USUALLY SELF RESSOLVE
DIFFERENTIAL DIAGNOSIS FOR ECLAMPSIA
IN THE EVENT OF RECURRENT/PROLONGED SEIZURES THAT ARE UNRESPONSIVE TO MAGNESIUM SULPHATE CONSIDER?
HYPOGLYCEMIA
Hyponatremia
Intracranial haemorrhage
Epilepsy
Space-occupying cerebral lesion or cerebral vein thrombosis