83. Examination of the eclamptic attack 5 case that we experienced recently

Abstract

Introduction The management comes to be carried out, and the eclamptic attack that often occurs cause of hypertensive disorders of pregnancy is a tendency to decrease. In our hospital, there were five (0.296%) cases of eclamptic attack by 1685 delivery during 17 months from February, 2016 to June, 2017. Result Five cases were primipara, and the age was 28–40 years old. Two patients were cared for by obstetric opening type practice, two cases were cared by in-hospital midwifery of our hospital, and there were not high-risk pregnancy. One patient performed a medical examination in our hospital obstetrics for 40-year-old advanced age first childbirth. All patients did not detect hypertension, proteinuria during a pregnancy period together. Two cases were intrapartum eclampsia, and three cases were puerperal eclampsia. Blood pressure was increased all cases during a birth process temporarily, but the blood pressure just before eclamptic attack all five cases were normal. One puerperal eclampsia case of the blood pressure was high after eclamptic attack, and it was given an antihypertensive agent, but recovered immediately, and the antihypertensive medications became needless four hours later. One patient of the puerperal eclampsia had history of hypoglycemia, but there was not hypoglycemia at attack. Because it was all a convulsive seizure from normal blood pressure, we performed head CT of all cases, three patients performed the MRI, the organic disease was not found of all cases. Discussion By the simulation education and the team approach in medical care to cope with a maternal sudden change, we came to rarely experience eclamptic attack from hypertensive disorders of pregnancy. However, the eclamptic attack occurs from a case of the normal blood pressure like our case. Therefore it is important that we learn the skill that can urgently always support for sudden abnormality from normal.