Active management of the unconscious eclamptic patient

A. M. Richards, J. Moodley, D. I. Graham, Ross Bullock

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Of the many complications which may develop after eclamptic seizures, prolonged unconsciousness is one of the most difficult for obstetricians to manage as the pathophysiology of this condition remains largely unknown. Computed axial tomography (CT scan) was performed on 20 unconscious eclamptic patients, and autopsy was obtained on an additional two patients. Changes compatable with cerebral oedema were demonstrated in 75% of patients; cerebral haemorrhage occurred in 9%. A programme of intensive neurological management aimed at optimizing cerebral perfusion and controlling intracranial pressure is outlined. We have reduced the mortality rate for unconscious eclamptic patients from 50% to 17% in our institution.

Original languageEnglish
Pages (from-to)554-562
Number of pages9
JournalBritish Journal of Obstetrics and Gynaecology
Volume93
Issue number6
StatePublished - Jun 1 1986
Externally publishedYes

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Unconsciousness
Brain Edema
Cerebral Hemorrhage
Intracranial Pressure
Autopsy
Seizures
Perfusion
Tomography
Mortality

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Richards, A. M., Moodley, J., Graham, D. I., & Bullock, R. (1986). Active management of the unconscious eclamptic patient. British Journal of Obstetrics and Gynaecology, 93(6), 554-562.

Active management of the unconscious eclamptic patient. / Richards, A. M.; Moodley, J.; Graham, D. I.; Bullock, Ross.

In: British Journal of Obstetrics and Gynaecology, Vol. 93, No. 6, 01.06.1986, p. 554-562.

Research output: Contribution to journalArticle

Richards, AM, Moodley, J, Graham, DI & Bullock, R 1986, 'Active management of the unconscious eclamptic patient', British Journal of Obstetrics and Gynaecology, vol. 93, no. 6, pp. 554-562.
Richards AM, Moodley J, Graham DI, Bullock R. Active management of the unconscious eclamptic patient. British Journal of Obstetrics and Gynaecology. 1986 Jun 1;93(6):554-562.
Richards, A. M. ; Moodley, J. ; Graham, D. I. ; Bullock, Ross. / Active management of the unconscious eclamptic patient. In: British Journal of Obstetrics and Gynaecology. 1986 ; Vol. 93, No. 6. pp. 554-562.
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