eclampsia


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eclampsia

 [e-klamp´se-ah]
in pregnant women, the convulsive stage of preeclampsia-eclampsia syndrome; the convulsions are not attributable to other cerebral conditions such as epilepsy. It is a potentially life-threatening disorder characterized by hypertension, generalized edema, and proteinuria. Preeclampsia is a less severe, nonconvulsive form of the disorder. adj., adj eclamp´tic.
puerperal eclampsia that occurring after or during childbirth.
uremic eclampsia eclampsia due to uremia.

ec·lamp·si·a

(ek-lamp'sē-ă),
Occurrence of one or more convulsions, not attributable to other cerebral conditions such as epilepsy or cerebral hemorrhage, in a patient with preeclampsia.
[G. eklampsis, a shining forth]

eclampsia

/eclamp·sia/ (ĕ-klamp´se-ah) convulsions and coma, rarely coma alone, occurring in a pregnant or puerperal woman, and associated with hypertension, edema, and/or proteinuria.eclamp´tic
uremic eclampsia  that due to uremia.

eclampsia

(ĭ-klămp′sē-ə)
n.
Coma or convulsions in a patient with preeclampsia, occurring in late pregnancy, during labor, or within 24 hours after giving birth.

e·clamp′tic (-tĭk) adj.

eclampsia

[iklamp′sē·ə]
Etymology: Gk, ek, out, lampein, to flash
the gravest form of pregnancy-induced hypertension. It is characterized by grand mal seizure, coma, hypertension, proteinuria, and edema. The symptoms of impending seizure often include body temperature of up to 104° F, anxiety, epigastric pain, severe headache, and blurred vision. The nurse is alert to persistently and extremely high blood pressure and to increasingly hyperactive deep-tendon reflexes, or clonus. Convulsions may be prevented by bed rest in a quiet, dimly lit room and parenteral administration of magnesium sulfate and antihypertensive medications. The nurse attentively monitors the mother's general condition, including respiration, deep tendon reflexes, blood pressure, magnesium sulfate levels, and urine and protein excretion, as well as the baby's heart rate. Treatment of a convulsion must include maintenance of the mother's airway, protection of the mother against self-injury, and administration of medication to check the convulsion and decrease the blood pressure. Once this is accomplished, delivery is indicated. Convulsions rarely occur in the puerperium. Complications of eclampsia include cerebral hemorrhage, pulmonary edema, renal failure, liver necrosis, abruptio placentae, hypofibrinogenemia, hemolysis, and retinal hemorrhages, sometimes with temporary blindness. The maternal mortality rate in eclampsia is 10%; the fetal mortality rate is 25%. Eclampsia occurs in 0.2% of pregnancies. The cause is not known.

eclampsia/pre-eclampsia

(From Greek eklampsis, shining forth) Metabolic toxemia of pregnancy Obstetrics A condition which usually develops in late pregnancy or the immediate puerperium Clinical HTN, hemoconcentration, sodium retention with resultant edema Lab Albuminuria, proteinuria, hypoproteinemia, ↑ nitrogen/BUN; pre-eclampsia is most common in primigravidas, after the 24th gestational wk, but may occur as soon as trophoblastic tissue is present Treatment If mild, bed rest and sedation; if severe, antihypertensives–eg, vasodilators, α methyldopa; if convulsions, magnesium sulfate. See HELLP syndrome.

ec·lamp·si·a

(ĕ-klamp'sē-ă)
Occurrence of one or more convulsions, not attributable to other cerebral conditions such as epilepsy or cerebral hemorrhage, in a patient with preeclampsia.
[G. eklampsis, a shining forth]

eclampsia

A serious complication of pregnancy in which dangerous seizures occur with a high mortality. Eclampsia is always preceded by the warning state of pre-eclampsia. This consists of raised blood pressure, OEDEMA, and protein (albumin and sometimes globulin) in the urine. The risk of eclampsia ceases soon, but not immediately, after the baby is born. It has recently been discovered that a rise in the levels of circulating angiogenic factors can predict the development of pre-eclampsia.

eclampsia

a syndrome including convulsions and coma occurring in animals soon after birth of the young.

bitch eclampsia
see puerperal tetany.
guinea pig eclampsia
see pregnancy toxemia (3) and ketosis.
mare eclampsia
puerperal eclampsia
see puerperal tetany.
sow eclampsia
a poorly defined condition of older sows after farrowing which responds to treatment with calcium and magnesium.
References in periodicals archive ?
The retinal and choroidal circulations are affected in preeclampsia and eclampsia with retinopathy similar to hypertensive retinopathy.
As hemorrhage and eclampsia are the main causes of maternal mortality in our country, the experts suggested, more preventive interventions need to be prioritized.
CONCLUSION: Eclampsia is a serious, common condition associated with significant maternal morbidity and mortality.
Our study suggests that the findings of bilateral uterine artery diastolic notching on doppler ultrasound indicator for developing pre- eclampsia which is consistent with a recent report where ultrasound along with demographic, and clinical parameters were combined to predict occurrence of pre-eclampsia17.
Our results shows that incidence of placental abruption was found in 52% of patients,anemia was found in 8% of patients, pre-eclapmsia was found in 30% of patients, eclampsia was found in 54% of patients, diabetes mellitus was found in 18% of patients and cord prolapse in 58% of patients.
The management of eclampsia at the study site and the referring health facilities followed the recommendations of the Maternity Care Guidelines for Clinics and District Hospitals in SA.
A total of 86 pregnant women comprising 21 normotensive primiparous women and 65 primiparous women with eclampsia at gestational age of >20 weeks were registered in the study after taking informed consent.
Magnesium sulphate is not recommended as an antihypertensive agent, but remains the drug of choice for seizure prophylaxis in severe pre-eclampsia and for controlling seizures in eclampsia.
Eclampsia can be complicated by several serious conditions, such as cerebral hemorrhage or stroke, pulmonary embolism, acute renal or liver failure, disseminated intravascular coagulopathy (DIC), syndrome of hemolysis, elevated liver enzymes and low platelet count (HELLP), abruptio placentae, temporary or permanent neurologic abnormalities and cognitive impairment later in life [4, 5, 10, 15, 22-24], Perinatal morbidity and mortality is high (5.
All patients admitted with eclampsia into the labour ward of the university of Maiduguri teaching hospital from January to June 2011 were assessed for enrolment into the study.
According to NLM, the risk for eclampsia increases for women over the age of 35 and it only occurs in one out of every 2,000 or 3,000 pregnancies.