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July 30, 2010
Table of Contents
1 Introduction
Eclampsia

Wikipedia

 

DiseaseDisorder infobox |
Name = Eclampsia |
ICD10 = O15 |
ICD9 = 642.6 |

Eclampsia is a serious complication of pregnancy and is characterised by seizure|convulsions. Usually eclampsia occurs after the onset of pre-eclampsia though sometimes no pre-eclamptic symptoms are recognisable.
The convulsions may appear before, during or after childbirth|labour, though cases of eclampsia after just 20 weeks of pregnancy have been recorded.

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The majority of cases are heralded by pregnancy-induced hypertension and proteinuria but the only true sign of eclampsia is an eclamptic convulsion, of which there are four stages. Patients with edema and oliguria may develop renal failure or pulmonary oedema.

  • Premonitory stage - this stage is usually missed unless constantly monitored, the woman rolls her eyes while her facial and hand muscles twitch slightly.

  • Tonic stage - soon after the premonitory stage the twitching turns into clenching. Sometimes the woman may bite her tongue as she clenches her teeth, while the arms and legs go rigid. The respiration (physiology)|respiratory muscles also spasm, causing the woman to stop breathing. This stage continues for around 30 seconds.

  • Clonic stage - the spasm stops but the muscles start to jerk violently. Frothy, slightly bloodied saliva appears on the lips and can sometimes be inhaled. After around two minutes the convulsions stop, leading into a coma, but some cases lead to congestive heart failure|heart failure.

  • Comatose stage - the woman falls deeply unconscious, breathing noisily. This can last only a few minutes or may persist for hours.


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It can be fatal to both mother and fetus, with just under one in 50 women dying and one in 14 of their babies also not surviving, despite best-available medical care.

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  • Mayes, M., Sweet, B. R. & Tiran, D. (1997). Mayes' Midwifery - A Textbook for Midwives 12th Edition, pp. 533???545. Baillière Tindall. ISBN 0-7020-1757-4


med-stub

Category:Obstetrics
Category:Medical emergencies
fr:??clampsie
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This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Eclampsia".


Last Modified:   2005-12-23


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