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Eclampsia - Treatment

Nombres alternativos

Toxemia con convulsiones

Tratamiento:

Si usted tiene eclampsia, el médico debe vigilarla cuidadosamente en busca de signos de empeoramiento y eclampsia potencial. El parto es la opción de tratamiento para la preeclampsia grave en un intento por prevenir la eclampsia. El hecho de dar a luz al bebé alivia la afección. Prolongar el embarazo puede ser peligroso tanto para usted como para el bebé.

Con un monitoreo cuidadoso, el objetivo es manejar los casos graves hasta las semanas 32 a 34 del embarazo y los casos leves hasta que hayan pasado de 36 a 37 semanas. Esto ayuda a reducir las complicaciones de un parto prematuro.

A usted le pueden suministrar medicamentos para prevenir las convulsiones (anticonvulsivos). El sulfato de magnesio es un medicamento seguro tanto para usted como para su bebé. El médico puede prescribirle medicamentos para disminuir la hipertensión arterial, pero tal vez usted tenga que dar a luz si su presión arterial permanece alta, incluso con medicamento.

Expectativas (pronóstico):

En los Estados Unidos, las mujeres rara vez mueren por eclampsia.

Complicaciones:

Existe un riesgo mayor de separación de la placenta (desprendimiento prematuro de placenta) con preeclampsia o eclampsia y puede haber complicaciones para el bebé debido al parto prematuro.

Se puede presentar una anomalía de la coagulación de la sangre llamada CID (coagulación intravascular diseminada).

Situaciones que requieren asistencia médica:

Consulte con el médico o acuda al servicio de urgencias si tiene cualquier síntoma de eclampsia o de preeclampsia. Algunos de los síntomas de emergencia son las crisis epilépticas (convulsiones) o la disminución del nivel de conciencia.

  • Reviewed last on: 2/21/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

ACOG Practice Bulletin Committee. Diagnosis and management of preeclampsia and eclampsia. Obstet Gynecol. 2002;99:159-167.

Gabbe SG, Niebyl JR, Simpson JL. Obstetrics - Normal and Problem Pregnancies. 4th ed. New York, NY: Churchill Livingstone; 2002:974-983.

Sibai BM. Hypertension. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2007:chap 33.

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