Emergency management

Every effort should be made to prevent the woman from injuring herself during the tonic-clonic phase of the convulsion. During the postictal phase it is important to maintain the integrity of the airway, administer oxygen, and avoid supine hypotension.

Most convulsions are self-limiting, but anticonvulsant therapy is indicated to prevent recurrent seizures. Magnesium sulfate is the preferred therapy, and 4 g should be given intravenously over 5 to 10 min (EclampsiaTriaJ CpJJaborative Group 199.5).

Hypoxia and uterine hypertonus during the convulsion generally lead to fetal bradycardia. Under no circumstances should an emergency Cesarean section be undertaken for fetal distress, as the consequences of operating on an unstable mother may be catastrophic. The fetal heart rate usually recovers quickly once maternal hypoxia and acidemia are corrected.

Healthy Fat Loss For A Longer Life

Healthy Fat Loss For A Longer Life

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