Clinical study on postpartum eclampsia

Background: Eclampsia constitutes one of the deadly triad along with malnutrition and anemia which authors encounter in the present tertiary hospital Karnataka Institute of Medical Sciences, Hubli. This study was done to study the epidemiological factors associated with postpartum eclampsia, correlation with neuroimaging and the maternal outcome. The objective of the present study was retrospective study of postpartum eclampsia over a period of 22 months.Methods: A retrospective study conducted over a period 22 months from June 2015 to March 2017 in a tertiary care hospital, Karnataka Institute of Medical Sciences, Hubli. Case records of all postpartum eclampsia patients admitted during the period were analyzed.Results: This study showed that incidence of postpartum eclampsia in our hospital was 1.4%. It is more common in age group of 20-25 years, more common in primipara  (67.24%), commonest mode of delivery was vaginal route (86.2%), the occurrence of convulsion was more common within 24hrs after delivery. Most common CT scan finding was normal study (51.72%) followed by cerebral infarct (15.5%), cerebral edema (13.72%), PRES (10.34%). There were no cases of maternal mortality due to postpartum eclampsia during study period.Conclusions: Eclampsia still remains a major cause of maternal morbidity, CT scan of brain gives valuable intracerebral information, and aids in a better management.

Late postpartum eclampsia 11days after delivery without preeclampsia: A case report / 대한산부인과학회지

Eclampsia, defined as peripartum seizure activity commonly associated with hypertension, proteinuria and edema. Historically, eclampsia was believed not to occur more than 48 hours after delivery and late postpartum eclampsia was thought to be uncommon. However, recent evidence suggests that its incidence is increasing. In addition, clinical signs of late postpartum eclampsia may differ from that occurring during the pregnancy. In case of late postpartum eclampsia, headache and visual disturbance may precede seizure but classic preeclampsia signs as edema, proteinuria, and hypertension are not presented until shortly before seizure onset. So it should be needed that patient education about prodromal symptoms of late postpartum eclampsia, including headache, visual disturbance, and abdominal pain at the time of hospital discharge. We described a case of eclampsia occurring 11days after delivery without preeclampsia symptom including a review of the literature.

Late Postpartum Eclampsia: A Case Report / 대한주산의학회잡지

Although the technique of antenatal care is developed, the incidence of late postpartum eclampsia has been increased and its prevention is difficult. In addition, the diagnosis is more difficult if the patient did not show any symptoms of preeclampsia before delivery. We described one case of late postpartum eclampsia that occurred on 7th day after preterm delivery and has not been diagnosed before delivery including a review of this literature.

Late Postpartum Eclampsia 6 Days After Delivery: A Case Report / 대한산부인과학회잡지

Eclampsia, a dramatic and often unpredictable complication of pregnancy induced hypertensive disorders, is diagnosed by sudden hypertension, proteinuria, edema and seizures. Eclampsia is characterized by generalized tonic-clonic convulsions that develop in women with pregnancy induced or aggravated hypertension. Because identification of patients at risk and preventative therapies are imperfect, eclamptic seizures continue to occur occasionally during puerperium. Postpartum eclampsia is a rare, frightening, and potentially tragic complication of hypertensive pregnancies, usually developing within 48 hours of delivery. But otherwise typical cases are reported up to 26 days postpartum. Another diagnosis should be considered in women with the onset of convulsions more than 48 hours postpartum, and it required rapid, precise clinical evaluation by multiple specialists. We described a case of eclampsia occurring 6 days after parturition. Theoretical and proved pathophysiologic derangements of this serious pregnancy-related disorder are also reviewed.