Eclampsia (Toxemia Of Pregnancy)

Description

Advance stage of preclampsia. Preeclampsia (toxemia) is a condition of pregnancy marked by high blood pressure, protein in the urine, and swelling of the feet and hands. Eclampsia is preeclampsia with the added symptom of a seizure and rarely death. Preeclampsia and eclampsia is seen after the 20th week of pregnancy. The following increase the risk of having preeclampsia and eclampsia: teenage pregnancy, previous history of preeclampsia, obesity, carrying more than one baby (twins, triplets etc.), having high blood pressure, mother's age greater than 35, and being of African American descent. This condition is very serious requiring immediate treatment.

Symptoms

Headache, upper abdominal pain, seizure, agitation, muscle aches, arm and leg swelling, blurry vision, fainting.

Tests

A history and physical exam will be performed. The urine is checked for protein. Blood tests are done to identify high uric acid, elevated liver function tests, low platelets and renal failure.

Treatment

Therapy depends on the severity of the symptoms. Treatment includes Intravenous magnesium and aggressive blood pressure control. Definitive treatment is delivery of the baby.

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