Volume : 4, Issue : 12, December - 2015

CASE REPORT ON : INTERCURRENT ECLAMPSIA

Dr. Sushil Kumar, Dr. Aasia Badrul Islam Khan, Dr. Archana Chatterjee

Abstract :

<p>Intercurrent eclampsia consists of convulsions and hypertension and/or proteinuria appearing as in antepartum cases but stopping and subsiding with enough clinical improvement to allow continuation of pregnancy for at least 10 days after cessation of convulsions. It had been standard advice that pregnancy should be terminated once the eclamptic fits are controlled for 24 to 48 hours because if the second attack of fits, if it recurs, is more severe and likely to be fatal. However, this need not necessarily be the case in every eclamptic. Here I present a case of 27yr old primigravida with history of convulsion with 30 weeks of pregnancy with full dose of Mgso4 given. Advised termination but no consent given by the relatives. Hence conservative management of the case done for 20 days following which patient developed signs of pre eclampsia and emergency lscs done with healthy baby of 1.6kg. Her postpartum period was uneventful and patient with healthy baby discharged. Conclusion: Thus, the policy of termination of pregnancy in cases of intercurrent eclampsia requires occasional consideration in view of availability of better lines of medical treatment and fetal monitoring. Our experience in this case indicates that it may be possible to continue pregnancy for better fetal survival in eclampsia occurring before 32 weeks of pregnancy</p>