Document Detail

Modern management of eclampsia.
MedLine Citation:
PMID:  10448466     Owner:  NLM     Status:  MEDLINE    
Eclampsia, the occurrence of a seizure in association with pre-eclampsia, remains an important cause of maternal mortality and morbidity. Despite being recognised since antiquity, consistent management practices are still lacking. Given that the aim of good care is to prevent seizures, it is disappointing that in the majority of cases the first eclamptic convulsion occurs after admission to hospital. This indicates that either the women who are likely to have a convulsion were not identified accurately, or the treatment given was ineffective. The answer to poor management of eclampsia lies in better education and training of all obstetricians, anaesthetists, midwives, and general practitioners in the diagnosis and treatment of severe pre-eclampsia and eclampsia. Protocols for the management of fluid balance, antihypertensive and anticonvulsant therapies should be available and reviewed regularly. The universal adoption of such guidelines in all obstetric units would substantially reduce elements of substandard care which have repeatedly been identified in the triennial reports of the confidential enquiries into maternal deaths in the UK.
O Salha; J J Walker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Postgraduate medical journal     Volume:  75     ISSN:  0032-5473     ISO Abbreviation:  Postgrad Med J     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-08-30     Completed Date:  1999-08-30     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0234135     Medline TA:  Postgrad Med J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  78-82     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, St James's University Hospital, Leeds, UK.
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MeSH Terms
Delivery, Obstetric
Eclampsia / diagnosis*,  drug therapy,  prevention & control*
Hypertension / therapy
Postnatal Care
Pre-Eclampsia / diagnosis,  drug therapy,  prevention & control
Prenatal Care

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