Eclampsia Is A Known Cause Of Significant Maternal And

1661 WordsMay 1, 20177 Pages
Eclampsia is a known cause of significant maternal and fetal death secondary to pulmonary edema and cerebrovascular hemorrhage. (1) One UK study found that of women presenting with eclampsia, one out of 14 of the infants did not survive. (3) This word “eclampsia” literally means lightning, and appropriately so considering its rapid onset and often-fatal outcome. While many women receive high quality, consistent prenatal care, many others do not. As a result, early signs of pre-eclampsia can easily be over looked. Additionally, because these same women often live a significant distance from adequate neonatal resources, without rapid emergency intervention they would likely have a negative outcome in the pregnancy. For this reason, it…show more content…
(2) Therefore, for medics to effectively manage the eclamptic patient, they should understand key signals and, ideally, the patient’s past medical history. Based on data analysis of patients considered to be “at risk” for developing eclampsia, those with “prior pre-eclampsia, chronic hypertension (HTN), pre-gestational diabetes, assisted reproductive technology, and BMI >30 were most strongly associated with a high rate of pre-eclampsia.” (4) Lastly, women at both extremes of childbearing age (young and old) are more likely to develop pre-eclampsia than other parous women. These are key factors to consider when initially evaluating a patient at greater than 20 weeks gestation with BP of over 140/90. (2) Should a patient be found (as described in the case above) already in an eclamptic state and actively seizing, immediate action is required for protection of both mother and fetus. A Japanese study specifically evaluated the air transportation of 19 women with various pregnancy complications to determine if it could be a viable option for those patients not living near suitable medical facilities. In fact, the Japan Society of Obstetrics and Gynecology found that using helicopter transport not only for rapid care but also given the “disparities of tertiary perinatal cares”. (5) Out of 19 women, three presented in a pre-eclamptic state, and two of
Open Document