Kat Evans takes us through the reality of managing pre-eclampsia in South Africa, highlighting what we cannot miss.
Eclampsia: life threatening situation for the mother and baby. 1:2000 pregnancies; most occur in 3rd trimester; 1/3 post-partum; usually with in 24hrs of delivery; vasogenic cerebral oedema from hypertensive encephalopathy
Pre-eclampsia and Eclampsia: multisystem disorder of pregnancy characterised by hypertension and organ system derangement; defective trophoblast invasion of the spiral arteries and abnormal trophoblast differentiation.
The Case. A 28 year old female presents to your ED at 2am. She left the hospital 12 hours earlier with her newborn first child who is now 2 and half days old. Her main complaint is that of profound…