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 General Obstetrics

Eclampsia

Eclampsia

Preeclampsia
Preeclampsia

Definition:

Eclampsia is the occurence of seizures (convulsions) in a pregnant woman. The seizures are unrelated to brain conditions and usually happen after the 20th week of pregnancy.

See also: Preeclampsia

Alternative Names:
Toxemia with seizures
Causes, incidence, and risk factors:

The cause of eclampsia is not well understood. Researchers believe a person's genes, diet, blood vessels, and neurological factors may play a role. However, no theories have yet been proven.

Eclampsia follows preeclampsia, a serious complication of pregnancy marked by high blood pressure, weight gain, and protein in the urine.

It is difficult to predict which women with preeclampsia will go on to have seizures. Women with very high blood pressure, headaches, vision changes, or abnormal blood tests have severe preeclampsia and are at high risk for seizures.

The rate of eclampsia is approximately 1 out of 2000 to 3000 pregnancies. The following increase a woman's chance for preeclampsia: 

  • First pregnancies
  • Teenage pregnancies
  • Being 35 or older
  • Being African-American
  • Multiple pregnancies (twins, triplets, etc.)
  • History of diabetes, hypertension, or renal (kidney) disease
Symptoms:
  • Seizures
  • Severe agitation
  • Unconsciousness
  • Muscle aches and pains 

Symtoms of preeclampsia include swelling of hands and face, gaining more than 2 pounds per week, headache, vision problems, and stomach pain. See preeclampsia.

Signs and tests:

The health care provider will perform a physical exam and rule out other possible causes of seizures. Blood pressure and breathing rate will be checked and monitored. Blood tests may be performed to check:

  • Uric acid
  • Creatinine (to evaluate kidney function)
  • Liver function
  • Platelet count

Review Date: 5/15/2006
Reviewed By: Melanie N. Smith, M.D., Ph.D., Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMedHealthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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