ECLAMPSIA

ECLAMPSIA INTRODUCTIONThe word eclampsia derived from greek which means To shine forth or flash of lightening in the sense of sudden occurrence. Apregnant mother with pre- eclampsia can have the possibilities of ecclampsia . An acute and life threatening complication during pregnancy. Also known as toxemia of pregnancy and hypertensive disorder of pregnancy.Es 2DEFINITION Defined as when pre eclampsia is complicated with convulsion and coma.

incidenceRarely seen in developed countries.In india 1 in 500 In europe 7 per 10000 deliveries, previously it was 74.In UK 5 per 10000 deliveries now 2 per 10000.stagesPremonitory stageTonic stagesClonic stagesState of comasRISK FACTORSPrimigravidaFamily history of htnAny placental abnormalityGenetic causesImmunologic causesMother with previous vascular or renal diseases.

STAGESPREMONITORY Patient becomes unconcious, eyeball rolls turns to one side and fixed, spasm for muscles on face, limb, tongue.

TONIC whole body undergoes a state of spasm. Tongue protrudes, tachypnea, cletching of hands, fixed eyeball.

CLONICjerky movements, secretions in mouth, tongue bite, twitching starts from face gradually spreads all over the body.

STATE OF COMA a state of confusion which may continue till the next seizure attacks.

managementIsolated roomPositioningMaintain the air wayCheck the vitalsExamination to be doneFluid balancemedicationPitchard regimen intial dose is 4gm iv over 3 to 4 min along with that 10gmMaintenance dose every 4th hrly 5gm im and continue mgso4for 24 hrs after the lost attack COMPLICATIONFOETAL DISTRESS IUGRRENAL FAILURE CEREBRAL ODEMASEPSISObstetrical managementIf the fits is not controllable terminate the baby either LSCS or destructive procedureThank you