Claim Missing Document
Check
Articles

Found 2 Documents
Search

Atypical eclampsia: A case report Sriyanti, Roza; Aldhi, Aldhi; Permatasari, Ressy
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.167-172.2022

Abstract

Background: Most women with eclampsia have a previous history of preeclampsia (proteinuria and hypertension). However, there has been a paradigm shift in this philosophy. There is evidence that atypical eclampsia can occur even in the absence of proteinuria and hypertension which presents a diagnostic dilemma and challenge for obstetricians and gynecologists. The purpose of this case report is to raise awareness about nonclassical and atypical signs of eclampsia so as to avoid complications Case: A multigravida woman with 39-40 weeks gestational age came to the hospital with signs of labor. On examination, blood pressure was 120/70 mmHg without a history of hypertension during antenatal examination, fetal heart rate was 146-156 beats/minute, cervical dilatation was 7-8 cm, with routine blood results within normal limits and planned for vaginal delivery . When monitoring the patient suddenly had a tonic clonic seizure, a complete blood count was performed, liver, kidney, electrolyte function was within normal limits, and proteinuria was found to be +2. The patient was treated with magnesium sulfate and the baby was delivered by vacuum extraction. This patient was managed appropriately with good outcome Discussion: Atypical eclampsia accounts for about 8% of all cases of eclampsia. Atypical forms of eclampsia have an erratic onset. This experience highlights some of the difficulties in managing atypical cases of eclampsia, namely the erratic onset and unpredictable course of the disease that can interfere with timely diagnosis and treatment and contribute to maternal and fetal morbidity and mortality. While controlling seizures by initiating magnesium sulfate therapy,
Eklamsia Atipikal: Laporan Kasus Aldhi, Aldhi; Permatasari, Ressy; Sriyanti, Roza
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (173.974 KB) | DOI: 10.36418/syntax-literate.v8i2.10584

Abstract

Kebanyakan wanita yang mengalami eklamsia memiliki riwayat preeklamsia sebelumnya (proteinuria dan hipertensi). Namun telah terjadi pergeseran paradigma dalam filosofi ini. Ada bukti bahwa eklamsia atipikal dapat terjadi bahkan tanpa protein uria dan hipertensi yang muncul sebagai dilemma diagnostik dan tantangan bagi dokter Obgin yang merawat. Tujuan dari laporan kasus ini adalah untuk meningkatkan kewaspadaan tentang tanda eklampsi anonklasikdan atipikal sehingga dapat menghindari komplikasi. Pada penelitian ini menggunakan metode literature review. Eklamsia atipikal menyumbang sekitar 8% dari semua kasus eklamsia. Bentuk eklamsia atipikal memiliki onset yang tidak menentu. Pengalaman ini menyoroti beberapa kesulitan dalam mengelola kasus eklamsia atipikal, yaitu onset yang tidak menentu dan perjalanan penyakit yang tidak dapat diprediksi sehingga dapat mengganggu diagnosis dan pengobatan yang tepat waktu dan berkontribusi pada morbiditas dan mortalitas ibu dan janin. Sementara mengendalikan kejang dengan memulai terapi magnesium sulfat, pencarian simultan untuk setiap penyebab organik/metabolic untuk kejang perlu dicari.