Pregnancy-induced convulsions

The reason why pregnant women need to go to the hospital for regular prenatal check-ups is that during the prenatal check-ups, they can effectively rule out any diseases they may have and prescribe the right medicine. Among them, gestational hypertension convulsions are a symptom that a small number of mothers will face. This symptom is also called eclampsia in medicine. If a pregnant woman suffers from convulsions caused by pregnancy-induced hypertension, it will directly endanger the lives of both mother and child. So what are some effective ways for pregnant women to prevent convulsions caused by pregnancy-induced hypertension?

If convulsions or coma occur on the basis of severe signs of pregnancy-induced hypertension, it is called eclampsia.

Eclampsia is a disease unique to pregnant women and a common obstetric emergency that directly endangers the lives of mother and baby. The treatment and prognosis of the disease are closely related to careful observation and meticulous care.

1. Keep the airway open. When eclampsia occurs, the patient should lie on the left side with the head lowered, or lie flat with the head tilted to one side to prevent secretions from blocking the airway and causing suffocation. If necessary, use a suction device to suck out throat mucus or vomit to prevent suffocation and aspiration pneumonia. Administer oxygen immediately at a flow rate of 3 to 5 L/min. Use an opener to place a tongue depressor wrapped with gauze between the upper and lower molars, and use tongue forceps to secure the tongue to prevent tongue biting or tongue retraction that could block the airway.

2. Control convulsions Once the patient has a convulsion, assist the doctor to control the convulsion as soon as possible. First, 4 g of magnesium sulfate mixed with 25% glucose solution is injected intravenously (over 10 minutes), and then intravenous drip is given. Add sedatives if necessary. Use an 18G cannula to immediately establish a double intravenous channel to ensure that the drug takes effect in a timely manner.

3. Vital signs observation shall be performed by dedicated caregivers, and blood pressure, pulse, respiration, body temperature and urine volume shall be closely monitored. Indwelling catheterization shall be provided, and the intake and output shall be recorded in detail. For double intravenous access, attention should be paid to the total amount of fluid infused per unit time to avoid pulmonary edema. Pay attention to changes in the patient's consciousness, pupil size, light reflex, and limb movement. Pay attention to the occurrence of complications such as retinal detachment, cerebral edema, heart failure, renal failure, etc., to provide dynamic information on the condition. Correctly record the time, duration, number of convulsions, etc.

4. Closely observe the progress of labor, pay attention to uterine contractions and vaginal bleeding, and be alert to placental abruption and signs of labor. Strengthen fetal heart rate monitoring and be prepared to end delivery and rescue the baby in a timely manner if fetal distress occurs.