Eclampsia in the United Kingdom 2005

Knight, Margaret

doi:10.1097/01.aoa.0000326386.35240.20

Cited by 38 publications

(62 citation statements)

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“…In another study, in 79% of cases, premonitory signs and symptoms were present during the week before the first eclamptic seizure: headache (56%), visual disturbances (23%), epigastric pain (17%), hypertension (48%), proteinuria (46%), and concurrent hypertension and proteinuria (38%). 13 Similarly, in our study, the diastolic blood pressure on admission was 110-130 mmHg ( in 55.5%),mostly presented with headache (53.3%) followed by blurred vision(22.2%) and epigastric pain (6.6%). Significant proteinuria was present in 46.6% cases (Table 2 and 3).…”

Section: 11supporting

confidence: 75%

Overview of Eclampsia at a Tertiary Care Hospital

Shakya

Vaidya

2014

Nepal j. obstet. gynaecol.

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Results: Out of 31,674 obstetric admissions, 45 (0.14%) were eclampsia cases of which 42.2% belonged to 20 -<25 years and 28.8% in 17-<20 years age group occurring mostly in primipara (71.1%). Antepartum and postpartum eclampsia were 77.7% and 22.2% respectively. Majority of them presented at 36-40 weeks'(46.6%), unbooked cases being 80% and 20% had antenatal check-up at this hospital. The diastolic blood pressure on admission recorded was 110-130 mmHg (55.5%), headache being the most common symptom(53.3%), blurred vision (22.2%), HELLP syndrome (4.4%) and urine albumin 3+ (46.6%) at the time of admission. Magnesium sulphate was used as anticonvulsant, loading and maintenance dose (40%) and only as loading dose (33.3%). Though fetal outcome was normal in 44.4% cases, rest were premature (24.4%), intrauterine growth restriction (17.7%) and intrauterine fetal demise (13.3%). Three (6.6%) cases were referred to multidisciplinary center. Maternal mortality occurred in two (4.4%) cases (cardiopulmonary arrest and prolonged hypoxia). Conclusions:When patients with eclampsia presented late, significant morbidity like HELLP syndrome, renal failure and central nervous disorder occurred and muti-organ damage leading to maternal mortality.

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Section: 11supporting

confidence: 75%

Overview of Eclampsia at a Tertiary Care Hospital

Shakya

Vaidya

2014

Nepal j. obstet. gynaecol.

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“…It has a maternal mortality rate of 0.5 to 10%. 3 Globally, pre-eclampsia and eclampsia account for 10-15% of maternal death. 4 Most of the over half a million maternal deaths that occur annually are in the developing countries like india.…”

Section: Introductionmentioning

confidence: 99%

Comparative study of vaginal delivery and caesarean section in antepartum eclampsia at tertiary care hospital

Kumari¹,

Singh²,

Khatun³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Eclampsia is characterized by the sudden onset of generalized tonic clonic seizures. Eclampsia is usually preceded by a history of the pre-eclampsia but rarely arises in a woman with minimally increased blood pressure and no proteinuria. Eclampsia most commonly occurs in the third trimester, though rarely eclampsia may occur before 20 wks in molar or multiple pregnancy. The aim of the study was to compare maternal and fetal outcome in antepartum eclampsia when terminated by vaginal delivery and caesarean section.Methods: 50 women with eclampsia attending emergency department OBG department of Katihar Medical College, Katihar were collected from Feb 2015 to Sep 2016. Depending upon the mode of delivery, they were divided into two groups, CD group where caesarean section was performed and VD group where vaginal delivery was performed.Results: Of the 50 cases, caesarean section was done in 40% of the cases, while vaginal delivery was carried was carried in 60%.Maternal complications in CD group was 35% and 80% in VD group (p<0.001).The incidence of live births, still birth and neonatal death was 85%, 15%, 0% in CD group and 60%, 40%, 10% in VD group. The corrected perinatal mortality was 50%.Conclusions: Timely caesarean section reduces maternal and perinatal mortality and improves their outcome in antepartum eclampsia.

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“…Where no reports were received, the local co-ordinator returned a nil report. This was based on the UK Obstetric Surveillance System [29].…”

Section: Methodsmentioning

confidence: 99%

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods and analysis of data

et al. 2014

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SummaryAccidental awareness during general anaesthesia with recall is a potentially distressing complication of general anaesthesia that can lead to psychological harm. The 5th National Audit Project was designed to investigate the reported incidence, predisposing factors, causality and impact of accidental awareness. A nationwide network of local co-ordinators across all UK and Irish public hospitals reported all new patient reports of accidental awareness to a central database, using a system of monthly anonymised reporting over a calendar year. The database collected the details of the reported event, anaesthetic and surgical technique, and any sequelae. These reports were categorised into main types by a multidisciplinary panel, using a formalised process of analysis. The main categories of accidental awareness were: certain or probable; possible; during sedation; on or from the intensive care unit; could not be determined; unlikely; drug errors; and statement only. The degree of evidence to support the categorisation was also defined for each report. Patient experience and sequelae were categorised using current tools or modifications of such. The 5th National Audit Project methodology may be used to assess new reports of accidental awareness during general anaesthesia in a standardised manner, especially for the develop-1078

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Eclampsia in the United Kingdom 2005

Cited by 38 publications

References 0 publications

Overview of Eclampsia at a Tertiary Care Hospital

Overview of Eclampsia at a Tertiary Care Hospital

Comparative study of vaginal delivery and caesarean section in antepartum eclampsia at tertiary care hospital

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods and analysis of data

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