A Rare Case Of Antepartum Eclampsia With Cardiac Arrest Successfully Managed With Multidisciplinary Approach
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Date
2024-12
Journal Title
Journal ISSN
Volume Title
Publisher
Indian Society for Health and Advanced Research
Abstract
Antepartum eclampsia, a rare but severe complication of pregnancy, can lead to life-threatening maternal and fetal outcomes, especially when compounded by conditions like pulmonary oedema, cardiac failure, and peripartum cardiomyopathy. This case describes a 23-year-old primigravida at 31 weeks and 6 days of gestation who presented with tonic-clonic seizures, cardiac arrest, and respiratory distress. Prompt cardiopulmonary resuscitation and multidisciplinary management, including antihypertensive therapy, magnesium sulphate infusion, and emergency lower-segment cesarean section, were crucial in stabilising the patient and delivering a live preterm infant. Echocardiography confirmed peripartum cardiomyopathy with reduced left ventricular ejection fraction, necessitating long-term cardiac care. The patient recovered steadily postoperatively with tailored medical management and was discharged on day seven in stable condition. This case underscores the importance of early recognition, timely intervention, and a collaborative approach in managing severe obstetric emergencies to optimise maternal and neonatal outcomes.
Description
Keywords
Antepartum, Eclampsia, Peripartum Cardiomyopathy, Multidisciplinary Management
Citation
Sowmya Manchineni, Bidri Shailaja, Yaliwal Rajasri . A Rare Case Of Antepartum Eclampsia With Cardiac Arrest Successfully Managed With Multidisciplinary Approach. International Journal of Scientific Research. 2024 Dec; 13(12): 77-78