Abstract

ARRIAGA LOPEZ, Alberto et al. Six Cases of Reports of Eclampsia in a Rural Hospital from the Chiapas Jungle. Rev. Fac. Med. (Méx.) [online]. 2022, vol.65, n.3, pp.24-32.  Epub Aug 01, 2022. ISSN 2448-4865.  https://doi.org/10.22201/fm.24484865e.2022.65.3.04.

Eclampsia is a relatively rare and unpredictable syndrome of pregnancy-induced hypertensive disease, characterized by a tonic-clonic seizure state which may or may not present hypertension or end-organ damage. It complicates approximately 3 out of 1000 pregnancies, with a high incidence in patients of low socioeconomic status and rural areas, women with pre-eclampsia, primiparous teen or multiparous women over 35 years old. We present the report of 6 cases of eclampsia that occurred in a first level rural hospital of attention in the state of Chiapas, located in the heart of the Lacandon Jungle. Most of them occurred in primiparous teen patients during labor, which exceeded 40 weeks of gestation. All were promptly managed with support measures and magnesium sulfate neuroprotection, 5 of them referred to the second level of the intensive care unit for more comprehensive care, the average length of stay was 2 days. No one presented a new seizure. No adverse perinatal outcomes or maternal death were recorded. The pre-eclampsia-eclampsia syndrome is a problem with a high impact on pregnancy and a challenge for all three levels of care, but especially for care in rural areas and indigenous areas throughout Mexico, since, due to entrenched customs, patients omit prenatal control, in addition to living in places with difficult access to hospitals or clinics.

Keywords : Eclampsia; pregnancy; hypertension; neuroprotection; magnesium sulfate; rural areas.

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