Eclampsia
| Eclampsia | |
|---|---|
| Video explanation | |
| Classification and external resources | |
| Specialty | Obstetrics |
| ICD-10 | O15 |
| ICD-9-CM | 642.6 |
| DiseasesDB | 4068 |
| MedlinePlus | 000899 |
| eMedicine | med/1905 emerg/796 |
| Patient UK | Eclampsia |
| MeSH | D004461 |
Eclampsia is the onset of seizures (convulsions) in a woman with pre-eclampsia. Pre-eclampsia is a disorder of pregnancy in which there is high blood pressure and either large amounts of protein in the urine or other organ dysfunction. Onset may be before, during, or after delivery. Most often it is during the second half of pregnancy. The seizures are of the tonic–clonic type and typically last about a minute. Following the seizure there is typically either a period of confusion or coma. Complications include aspiration pneumonia, cerebral hemorrhage, kidney failure, and cardiac arrest. Preeclampsia and eclampsia are part of a larger group of conditions known as hypertensive disorders of pregnancy.
Recommendations for prevention include aspirin in those at high risk, calcium supplementation in areas with low intake, and treatment of prior hypertension with medications. Exercise during pregnancy may also be useful. The use of intravenous or intramuscular magnesium sulfate improves outcomes in those with eclampsia and is generally safe. This is true in both the developed and developing world. Breathing may need to be supported. Other treatments may include blood pressure medications such as hydralazine and emergency delivery of the baby either vaginally or by cesarean section.
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Wikipedia