Understanding Eclampsia – Eclampsia is a disorder during pregnancy, during labor, or after childbirth. This condition is a severe complication of preeclampsia, which is characterized by the onset of seizures and may be accompanied by a comma.

Eclampsia after delivery generally occurs only within the first 24 hours after delivery. As many as 50-60% of cases occur during pregnancy. Meanwhile, about 30-35% of cases occur during labor, and about 10% occur after delivery.

Complications that may occur in eclampsia include:

  • Bleeding
  • Liver complications
  • Kidney complications
  • Yellow or jaundice (yellow eyes and skin)
  • Coma
  • Premature birth
  • Remove the placenta from the uterine wall
  • Brain damage due to seizures


Diagnosis of Eclampsia

If you have previously been diagnosed with preeclampsia, your doctor will suggest a support check. The goal is to see the possibility of preeclampsia deteriorating or recurring.

However, if you do not have preeclampsia before, your doctor will have eclampsia alone. The types of tests that can be done to determine the cause of seizures during pregnancy are:

  • Blood test. The examination is performed to determine the number of platelets and blood clotting factors.
  • Urine test. The goal is to check for the possibility of protein in the urine.
  • The creatinine test. High levels of creatinine (waste created by muscles and filtered by the kidneys) in the blood show preeclampsia.

Diagnosis to determine that eclampsia has occurred can be made by:

  • Physical examination. In the early stages of 30-35 seconds, the hands and eyelids vibrate, eyes open with a blank look. The next stage is the seizure.
  • Examination of vital signs. The increased blood pressure of diastole 110 mmHg. Fingertips look bluish. Can be found any signs of lung submerged fluid, which can be accompanied by heart failure.
  • Supporting investigation. The doctor will perform a urine examination to see the presence of protein in the urine.

Symptoms  of Eclampsia

Eclampsia can cause the following symptoms:

  • A severe headache on the front or back of the head, followed by an increase in abnormal blood pressure. A headache is persistent and does not diminish with aspirin or other headache medication.
  • Impaired vision. Patients will see flashes of light, blurry vision, and sometimes temporary blindness can occur.
  • Easily agitated and unable to tolerate noises or other disturbances.
  • Abdominal pain in the upper right.
  • Common sign of preeclampsia (high blood pressure, swelling of the face or hands, and presence of protein in the urine).


Treatment of Eclampsia

Treatment to treat eclamptic seizures is not much different from the treatment of severe preeclampsia. However, if convulsions occur again, then the doctor will likely give anti-seizure drugs.

The treatment goals of eclampsia are:

  • To stop and prevent seizures.
  • To prevent and cope with high blood pressure.
  • As a support to achieve stabilization optimally.
  • To end the pregnancy with minimal trauma

Cause of Eclampsia

Eclampsia usually occurs if pre-eclampsia is not treated or previously unknown. Also, there are also some risk factors that can cause eclampsia, namely:

  • High blood pressure.
  • Frequent headaches.
  • Pregnant at an age above 35 years.
  • Pregnant under the age of 20 years.
  • Multiple pregnancies.
  • First pregnancy.
  • A history of poor diet or malnutrition.
  • Diabetes or other conditions that affect the blood vessels.

Prevention of Eclampsia

Prevention of eclampsia is done by taking medicines recommended by doctors. Make sure you are well rested and always keep an eye on any changes in body condition.

If you have previously been diagnosed with preeclampsia, then performing proper preeclampsia therapy may help prevent eclampsia.