Skip to main content Accessibility help
×
Home
Hostname: page-component-7ccbd9845f-ktfbs Total loading time: 1.607 Render date: 2023-02-01T13:52:26.135Z Has data issue: true Feature Flags: { "useRatesEcommerce": false } hasContentIssue true

28 - Convulsions and epilepsy

from Section 5 - Medical and Surgical Emergencies during Pregnancy

Published online by Cambridge University Press:  05 November 2012

Edwin Chandraharan
Affiliation:
St George’s University of London
Sabaratnam Arulkumaran
Affiliation:
St George’s University of London
Get access

Summary

Seizure in pregnant woman is an emergency that requires immediate actions that do not require any high-tech facilities or drugs. Generalised epileptic seizures originate within, and rapidly engage, bilaterally distributed networks. During an absence seizure a person becomes unconscious for a short amount of time, usually a few seconds. During the seizure senior staff should be summoned and the patient should not be left on her own. Vital signs including blood pressure, pulse, ECG, respiration rate, temperature, saturated O2 and fetal heart rate should be monitored. For treatment of status epilepticus lorazepam (4mg) should be administered followed by phenytoin infusion (15 mg/kg at a rate of 50 mg/min) or diazepam infusion. In resource poor settings, where most obstetrical care occurs later in pregnancy and home births are the norm, women with epilepsy, especially those with poorly controlled seizures, should be encouraged to deliver at the hospital.
Type
Chapter
Information
Obstetric and Intrapartum Emergencies
A Practical Guide to Management
, pp. 191 - 197
Publisher: Cambridge University Press
Print publication year: 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×