Page 4 of 5: severe preclampsia

prasadkumaresan · Credits: 2294 My Scrapbook

first anticonvulsants only

Aucklander · Credits: 2246 My Scrapbook

No doubt once we deliver baby the eclamptic condition improve but first and formost we need to consider mothers condition because it got direct effect on the baby.

There is good % of mothers may even develop post pertum eclampsia without having any Sx and Sx.

Here we have to consider the mother Sx and Sx, which is not good. Most of the Obstrititian would like to treat this mother in a tertiary hospital by setteling her giving anti convulsant,most probably Hydralazine or if MgSo4, keeking it in mind that Mgso4 can cause respiratory depression.

Many Consultant may consider to the CS because the baby is 36 week of gestation.

So The treatment may vary from Consultant to Consultant, Hospital to Hospital.

I will really like to have a good discussion from you all. Thank you for reading, i could be wrong!!!

parin · Credits: 14680 My Scrapbook My Reading List 1 Books

The answer is Anticonvulsants..

C/S is not necessarily the only termination, even in eclampsia(at least in theories!!).

Pt is having hypertension, proteinuria & alrming signs, that means she is in acute severe pre-eclamptic state..

So, according to Dutta, prophylactic anti-convulsant therapy, f/b management of pregnancy, which may be C/S or induction..

nazia_k · Credits: 2890 My Scrapbook

in cases of impending eclampsia answer always is stablise the patient and deliver so it will be anticonvulsant therapy followed by C section
answer 2

jabby · Credits: 3703 My Scrapbook

anti convulsant first (Mgso4)THEN ATTEMP VAGINAL DELIVERY E I/V OXYTOCIN IF MOTHER AND FETUS ARE STABLE.(KAPLAN)

Mick · Credits: 1340 My Scrapbook

I believe the next line of management should be to load the patient with MgSO4 as the patient is in a state of PET. This both helps in controlling BP and controlling any further fits. Ultimately she will need to deliver either via normal vaginal or via C/section . Preferably within a few hours.

doc_chai · Credits: 143 My Scrapbook

yes first give prophylactic mag sulf n stabilise pts if not she will throw a convulsion on u while shifting 4 c/s

.ok n simultaneously induce with cerviprime or oxytocin depending on d bishops score.c/s is not the first option according 2 me

assh · Credits: 364 My Scrapbook

yup i also agree with first to give her MG SO4 to prevent getting into convulsions..as i read in Oxford..it will be impossible to predict which person goes to convulsion sand which not..and after that arrange for C section

drshanawazalam · Credits: 152 My Scrapbook

anti convalsent given in case of eclampsia,so in this situation anti hypertensive given if bp control then wait for term pregnancy if not controll then ceasarean don

e

drra · Credits: 135 My Scrapbook

The patient is in impending eclampsia, shouldn’t we give her magnesium sulphate and then take her up for section. Since Mag sulph is not mentioned in the options, we should give her anti convulsants before taking her up for section

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