CONVULSIVE SYNDROME IN ECLAMPSIA AND EPILEPSY IN PARTURITION UNDER 30 YEARS OF AGE

Abstract

The convulsive syndrome in eclampsia and epilepsy is often a major complication in obstetrics. If eclampsia is a pathology of gestation, epilepsy is a pre-existing pathology of pregnancy. Epilepsy can be aggravated by the presence of preeclampsia and eclampsia in both terms of fetal-placental units, frequency of convulsions. Obstetrical behaviour at birth by caesarean surgery or vaginal delivery with or without applying forceps should be chosen so as not to delay maternal and fetal prognosis. Epileptic patients have a higher risk of developing complications in pregnancy, by increasing maternal morbidity due to seizures, coma, birth bleeding or caesarean section, pelvi-genic hematoma, infections. The extraction of the fetuses was performed by caesarean surgery and forceps application. The immediate maternal and fetal, vital and functional prognosis was good. We recommended ablation in epileptic patients and administration of anticonvulsant treatment. The objective of the paper is represented by the study of the neuro-convulsive syndrome in eclampsia, epilepsy and in the association of the preeclampsia – epilepsy, the difference between the three entities and the therapeutic medical and obstetrical attitude for a good materno-fetal prognostic.

Keywords

• eclampsia
• epilepsy
• convulsive seizures
• caesarean section
• forceps application