Eclampsia in a multipara without prior history of preeclampsia / eclampsia
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH - Year 2018, Vol 10, Issue 9
Abstract
Background: Preeclampsia (PE) occurs in 2-8% of all pregnancies and mostly happens in the first pregnancy. The risk of developing PE in a third pregnancy (multipara) without a previous PE / E history is very small, especially if it occurs at under 34 weeks of gestation. Objective: To report a case of eclampsia in a multipara without prior history of preeclampsia / eclampsia. Methods: Case report. Results: A 32-year-old woman G3P2A0 with 32-33 weeks' gestation, came to the Tangerang Bethsaida Hospital emergency room with a history of seizure at home. Vital signs at the time of arrival showed blood pressure of 180/110 mmHg, pulse of 140 x/minute, respiratory rate of 20 x/minute, temperature of 36.50C, and oxygen saturation of 99%. Physical examination revealed minimal edema in lower extremities. ECG showed tachycardia, FHR using CTG was 140 x / minute, laboratory results showed urine protein 75mg / dL, triglycerides 537mg / dL, uric acid 11.5mg / dL, leukocytes 18,340 / μL, other CBC results along with HBA1C, albumin, AST, ALT, blood glucose, urea, creatinine, serum electrolytes (Na, K, Cl), bleeding time, clotting time, PT, and APTT were normal. Patient routinely comes for antenatal care. There was no history of preeclampsia/eclampsia during the first and second pregnancies. She was admitted to the ICU and diagnosed as eclampsia, received Adalat oros therapy, Aldomet, Perdipine, MgSO4, Dexamethasoneinjection for 24 hours for lung maturation, as well as pregnancy termination. After 24 hours in the ICU, cesarean operation and tubectomy were performed, a 1,495 gram baby boy was born, length 39 cm, APGAR score 3/8. The patient was treated with antibiotics, antihypertension, and vitamins. She was hospitalized for 3 days. Conclusions:We reported one case of a woman with the third pregnancy (multipara) of 32-33 weeks’ gestation with eclampsia without history of PE / E in both previous pregnancies. This is a very rare case, however with proper management, good outcomes can be achieved for both the mother and baby.
Authors and Affiliations
Prilly Astari, Ong Tjandra
Keywords
Related Articles
- EP ID EP403583
- DOI -
- Views 141
- Downloads 0
Case fatality in a neonatal intensive care unit: a hospital based prospective study in jammu & kashmir
Background: India faces the biggest newborn health challenge of any country in the world as one fourth of global neonatal deaths occur in India. The common cause of neonatal mortality in India are asphyxia, prematurity a...
An impact of smile designing on oral health- related quality of life
Aim: The aim of the present study was to evaluate the impact of smile designing on oral health - related quality of life. Objectives: Comparative evaluation of health-related quality of life (OHQoL) in patients before tr...
Improving the adherence to osteoporosis treatment by using structured patient education
Osteoporosis is a disorder in which there is a reduction of bone mass, with a consequent increase in risk of bone fracture. The term "treatment adherence" is defined as two distinct concepts, persistence and compliance....
Influence of smoking in clinical presentation of periodontal disease in patients with other cardiovascular risk factors
Objective: The aim of the current study was to investigate the influence of smoking in the clinical presentation of periodontal disease (PD) in patients with other cardiovascular risk factors. Methods: Patients and cont...
Healing energy of nature, implicated in periodontal therapy: Aloevera, a comparative study
The periodontal diseases are among the most common of chronic diseases to affect the mankind. Various chemotherapeutic agents are used but due to undesirable effects, the use of natural products has increased recently. A...