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Diagnosis
[edit]The USPSTF recommends regular checking of blood pressure through pregnancy in order to detect preeclampsia.[1]
Differential diagnosis
[edit]Convulsions during pregnancy that are unrelated to pre-eclampsia need to be distinguished from eclampsia. Such disorders include seizure disorders as well as brain tumor, aneurysm of the brain, and medication- or drug-related seizures. Usually the presence of the signs of severe pre-eclampsia precede and accompany eclampsia, facilitating the diagnosis.
Investigations include: CBC, renal function test (RFT), liver function tests (LFT), coagulation screen, 24-hour urine creatinine and protein, and fetal/placental ultrasound.
Treatment of eclampsia-related seizures with magnesium sulfate has a lower rate of recurrent seizures or maternal death than other agents. [2]
Info on diagnosis [3]
References
[edit]- ^ Sperling, Jeffrey D.; Gossett, Dana R. (25 April 2017). "Screening for Preeclampsia and the USPSTF Recommendations". JAMA. 317 (16): 1629. doi:10.1001/jama.2017.2018.
- ^ Sibai, Baha M. (2017). Obstetrics: Normal and Problem Pregnancies (Seventh ed.). Philadelphia, PA 19103-2899: Elsevier, Inc. pp. Chapter 31, 661-705.e3. ISBN 978-0-323-32108-2.
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(help)CS1 maint: location (link) - ^ Hart, Laura A.; Sibai, Baha M. (August 2013). "Seizures in pregnancy: epilepsy, eclampsia, and stroke". Seminars in Perinatology. 37 (4): 207–224. doi:10.1053/j.semperi.2013.04.001. ISSN 1558-075X. PMID 23916020.