If a preeclampsia patient has a seizure (crisis), it is
called eclampsia. Eclampsia seizure is just like epileptic seizure, the
patient's arms and legs have contractions and a temporary loss of
consciousness. The patient has high blood pressure and other signs of severe
preeclampsia. It is a serious condition that threatens the life of the mother
and almost always requires termination of pregnancy by caesarean. The only
definitive treatment is birth, otherwise there is a risk of recurrence of seizure
crises and endangering maternal life. Although eclampsia is rarely seen in
pregnancy, it can be seen in the days after birth.
Patients who have had an eclampsia seizure are often severe
preeclampsia patients. Mild preeclampsia findings are present in 20-25% of
eclampsia patients.
When does
eclampsia occur?
80% of eclampsia crises occur during delivery and within the
first 48 hours after birth. It appears after 20 weeks of pregnancy. It is very
rare to see it before the 20th week of pregnancy. Again, very rarely, cases
after long delivery (2 -3 weeks) have been reported.
Eclampsia
symptoms:
- Having a seizure (crisis)
- Severe headache
- Common swelling, edema in the body
- Defect of vision
- Pain in the stomach or liver area of the abdomen
- Temporary loss of consciousness
Diagnosis
(diagnosis):
It is the occurrence of seizures that make the diagnosis of
eclampsia. Eclampsia can never be defined without seizures. What are the
findings other than seizures: Increased liver enzymes, decreased platelet count,
increased blood pressure, excess protein excretion in urine (proteinuria),
decreased urine amount (oluguri), no urination (anuria).
Eclampsia
treatment:
The definitive treatment for eclampsia is urgently delivery.
(usually cesarean) All the findings described above will quickly recover after
birth. Delivery is urgently needed to prevent seizures again.
What is applied outside of the treatment? During the seizure,
the patient's respiratory tract can be closed, so one of the first procedures
to be performed is to open the respiratory tract. Medications are given to
lower blood pressure to normal. Magnesium sulfate treatment is given to prevent
the patient from having seizures again. The mother is followed very closely. If
preterm birth takes place, care is applied in the intensive care unit for the
baby.
- After eclamptic convulsion, mother serum pH and bicarbonate
levels decrease.
-IODINE DEFICIENCY IN PREGNANCY
-STOMACH ULCER AND GASTRITIS IN PREGNANCY
-HEREDITARY THROMBOPHILIA AND PREGNANCY
-PREEKLAMPSY IN PREGNANCY
