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Emergency Management of Eclampsia in Pregnancy

Seizure (eclampsia) developing on a background of preeclampsia threatens maternal-fetal life and requires rapid intervention.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Acil Servis department. Book Appointment →

What is Emergency Management of Eclampsia in Pregnancy?

Eclampsia is a tonic-clonic seizure or coma developing on a background of preeclampsia. It can be seen from the 20th week of pregnancy or in the first 6 weeks after delivery.

Magnesium sulfate is the first choice in seizure prophylaxis and treatment. It reduces maternal mortality and cerebrovascular complications.

Once the diagnosis is made, the timing of delivery is planned considering gestational age and maternal stabilization.

Symptoms

Severe headache
Visual changes (scotoma, blurring)
Right upper quadrant pain
Severe hypertension (>160/110)
Proteinuria
Generalized tonic-clonic seizure
Altered consciousness
Oliguria

Risk Factors

Chronic hypertension
Diabetes
Renal disease
First pregnancy
Multiple pregnancy
Obesity
Abnormal uterine artery Doppler
History of preeclampsia

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Go to emergency for severe headache and visual changes after week 20
  • Follow-up for high blood pressure, edema and proteinuria
  • Call 112 in sudden pain and seizure
  • Symptoms can continue within the first 6 weeks after delivery

Treatment Methods

01
Place in left lateral decubitus
02
Airway is secured
03
IV access and monitoring
04
MgSO4 4-6 g loading over 20 minutes
05
1-2 g/hour maintenance infusion
06
Additional 2 g MgSO4 in recurrent seizure
07
Blood pressure target <160/110 (labetalol, hydralazine)
08
Fetal monitoring
09
Obstetric consultation
10
Delivery is planned as soon as possible

Which Department to Visit?

You can visit our Acil Servis department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Acil Servis Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.