Hypertension in pregnancy - Eclampsia, Preeclampsia superimposed on chronic hypertension

3.Eclampsia :
The onset of convulsions in a woman with preeclampsia that cannot be attributed to other causes.
It is almost always associated with hypertension and protenuria, may be as much as 15 to 20 g/day.
 Seizures are generalized and may appear before, during, or after labour.
Eclampsia seizures developed beyond 48 hrs postpartum in one fourth of pts.
Convulsions 1 wk after delivery are less likely to be due to eclampsia.
 May occur before 20 wks in molar or multiple pregnancies or in association with anti-phospholipid syndrome.

4.Preeclampsia superimposed on chronic hypertension :
All hypertensive disorders regardless of their cause , predispose to development of superimposed preeclampsia and eclampsia.
Difficult to diagnose in pts who are not seen until mid pregnancy. Superimposed preeclampsia develops earlier than preeclapmsia.


-Hypertension in pregnancy-classification
-Hypertension in pregnancy-gestational hypertension
-Preeclampsia
-Eclampsia, preeclamsia superimposed on chronic hypertension
-Chronic hypertension
-Hypertension in pregnancy-etiology and pathogenesis
-Pathology
-Mild hypertension in pregnancy-prevention and management
-Severe hypertension in pregnancy-management
-Severe preeclampsia in pregnancy-management
-Complications of hypertension
-Antihypertensive therapy- centrally acting drugs
-Antihypertensive therapy-beta blockers, calcium channel blockers
-Antihypertensive therapy-alpha blockers, vasodilator, diuretics, ACE inhibitors
-Acute severe hypertension - treatment
-Eclampsia - signs and symptoms
-Eclampsia - management