Obstetric and Gynecological Nursing - The Carter Center

- She is unconscious, her breathing detorous and her pulse
full and bounding. -Gradually the convulsion subsides.
Stage of coma
- Stertorous breathing continues and coma may persist for
minutes or hours.
- Further convulsions may occur before the mother regains
consciousness.
Emergency Care of a mother with eclampsia
- Clear and maintain the mother’s air way (suction)
- Administer oxygen and prevent severe hypoxia
- Prevent the mother from being insured during the clonic
stage.
- Monitor vital signs
Treatment may be given as follows:
Intravenous therapy will be commenced to maintain adequate
hydration. The regimen will be prescribed according to the
mother’s needs and ketoacidosis must be prevented.
Dextrose 5% will be used for intravenous drug administration.
- Sedatives to control convulsion
Where the hypertension is sever and requires rapid reduction,
intravenous hydrallazine may be given.
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