Pre-eclampsia and Complications Associated

2128 WordsJan 31, 20189 Pages
Pre-eclampsia and complications associated with this condition account for 15% of direct maternal mortality, 10% of perinatal mortality in Australia (Brennecke, East, Moses, & Blangero) and around fifty thousand maternal deaths a year worldwide. (T. E. T. C. Group, 1995; Vigil-De Gracia et al., 2006) It is estimated that pre-eclampsia complicates about 2-8% of pregnancies. (M. T. C. Group, 2002) Immediate recognition and treatment in the pre-hospital setting is important to reduce the risk of hypertension related injuries (i.e. intracranial haemorrhage) and the progression of pre-eclampsia to eclampsia. Treatment aims are immediate termination of seizures in pregnancy and rapid but safe lowering of the patient’s blood pressure. This guideline presents the 2014 proposed clinical practice guidelines in the treatment of severe pre-eclamspia and eclampsia. Key changes from previous clinical practice guidelines include: • Advanced Care Paramedics carry and are authorised to administer magnesium sulphate in the termination and prevention of seizures in pregnancy (where intravenous administration is accessible) • Intensive Care Paramedics and Advanced Care Paramedics servicing areas where travel time can be greater than half an hour to hospital carry and are authorised to administer Nifedipine as per CPG Recognition Eclampsia is the defined as the occurrence of a seizure in association with pre-eclampsia, (Duley, Henderson-Smart, Walker, & Chou, 2010) with pre-eclampsia being
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