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5789 Eclampsia



Eclampsia is the onset of convulsion caused by ill-managed preeclampsia. It may occur quite abruptly without any warning manifestation. It is more common in primigravidae, elderly mother aged above 35 years and pregnancy with twins or triplets.

The onset of convulsion occur most commonly beyond the 36th week of pregnancy, rarely can occur in early pregnancy.

Causes of Eclampsia:

Eclampsia is mainly caused by a disturbance in the electrical activity of the brain and it is provoked by-

  • High blood pressure
  • Proteinuria
  • Cerebral edema
  • Anoxia
  • Cerebral dysthymia

Symptoms of Eclampsia:

  • Unconsciousness
  • Anxiety
  • Difficulty in urination
  • Headache
  • Twitching of muscle of face, tongue and limbs
  • Frothing at the corner of the mouth
  • Rolled eyeball
  • Harsh and noisy breathing
  • Protruded tongue
  • Abdominal pain

Complications associated with Eclampsia

  • Injuries- tongue, mouth and sometimes it could be severe injuries involving important organs
  • Anuria
  • Cerebral hemorrhage
  • Pulmonary edema
  • Pulmonary embolism
  • Blindness
  • Intrauterine growth restriction
  • Fetal distress
  • Placental insufficiency
  • Low weight baby


Early detection and proper management of pre-eclampsia can prevent the occurrence of eclampsia and below mentioned preventive measures can help you manage pre-eclampsia:

  • Maintain a healthy weight
  • Get enough rest
  • Exercise regularly
  • Eat a healthy diet to reduce blood pressure
  • Avoid caffeinated drinks
  • Avoid alcohol consumption
  • Stay hydrated
  • Monitor and manage your diabetes
  • Visit your doctor regularly

The patient should be shifted urgently to the hospital in order to prevent severe complication and distress.