The management of eclampsia includes all except:
Ans: B (Prolongation of pregnancy) Ref: DC Dutta's Textbook of Obstetrics, 7th edn, p232Explanation:EclampsiaConvulsions/coma occurring in a women with preeclampsiaAnte partum eclampsia - Most common type of eclampsia (50%)Postpartum eclampsia - occurs within 48 hours after deliveryIntercurrent eclampsia - pregnancy continues beyond 48 hours after recoveryPRINCIPLES OF MANAGEMENT IN ECLAMPSIAMaintain airway, breathing and circulationOxygen administrationPrevention of injuryArrest of convulsionsControl BPDeliver by 6-8 hoursPrevention of complicationsVentilatory support (if required)Postpartum careDrug of ChoiceMagnesium sulphatePritchard regimenLoading dose - 4 gm slow IV (20%) + 10 gm IMMaintenance dose - 5 gm IM q 4 hoursMonitorUrine outputRespiratory rateKnee jerksTherapeutic level of serum MgSO4 - 4-7 meq/L.MgSO4 continued for 24 hours after the last seizure or delivery whichever is later.Status EclamptieusFits occurring in quick successionManagementThiopentone sodiumMuscle relaxation and assisted ventilation
Control of convu1sion
Prolongation of pregnancy
Control of BP
Delivery of fetus
Miscellaneous (Gynae)