DefinitionA condition in pregnancy characterized by high blood pressure and proteinuria.The development of seizures in a woman with severe preeclampsia.
OccurrenceUsually after the 20th week of gestation, can develop post-delivery.Occurs in the context of severe preeclampsia.
Risk Factors  1. First pregnancy

  2. pregnant teens

  3. women over 40

  4. history of hypertension

  1. Severe preeclampsia

  2. previous history of eclampsia

Symptoms  1. Hypertension

  2. proteinuria (>0.3g/24 hr)

  3. swelling, headaches

  4. visual disturbances

  1. Seizures

  2. severe headaches

  3. visual disturbances

  4. upper abdominal pain

  5. altered mental status.

DiagnosisElevated blood pressure, proteinuria, blood tests for kidney and liver function.Observation of seizures in addition to symptoms and signs of severe preeclampsia.
Management  1. Close monitoring

  2. corticosteroids for foetal lung maturity

  3. magnesium sulphate to prevent seizures

  4. antihypertensives like Labetalol

  1. Immediate delivery of the baby

  2. Magnesium sulphate to control seizures

  3. antihypertensive

  4. supportive care

PrognosisCan be managed conservatively until delivery if mild.High mortality (2%) and morbidity if not managed promptly.
ComplicationsCan lead to eclampsia, HELLP syndrome, placental abruption, organ damage.Can lead to permanent brain damage, organ failure, death of mother and baby.
PreventionRegular prenatal care, early detection and management of hypertension.Preventing the progression of preeclampsia through timely medical intervention.

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