Eclampsia (toxemia of pregnancy)
About Eclampsia (toxemia of pregnancy)
Advance stage of preeclampsia. 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 seizures, a condition that may be fatal. Preeclampsia and eclampsia are 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, age greater than 35, and being of African American descent. This condition is serious and requires immediate treatment.Symptoms
Headache, upper abdominal pain, seizure, agitation, muscle aches, arm and leg swelling, blurry vision, fainting.Tests & Diagnostics
A history and physical exam will be performed with attention to blood pressure, swelling in the extremities, and neurologic findings. The urine is checked for protein. Blood tests are performed to identify high uric acid, elevated liver function tests, low platelets and kidney failure.Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), Urinalysis (UA), Ultrasound.
Conventional treatment summary
Therapy depends on the severity of the symptoms. Treatment includes Intravenous magnesium, anti-seizure medications and aggressive blood pressure control. Definitive treatment is delivery of the baby.Medical specialties
Obstetrics and Gynecology
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Eclampsia (toxemia of pregnancy).