gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Loss of consciousness during pregnancy ? diagnostic problem. Case report


Author(s): Agnieszka Nalewczyńska, Beata Osuch, Agnieszka Timorek, Beata Śpiewankiewicz

Eclampsia is an important obstetric condition that causes significant maternal and perinatal mortality and morbidity. The disease is defined as the onset of convulsion or coma during pregnancy or post partum in a patient who has sings and symptoms of preeclampsia. A case of 34-year-old woman (gravida 8, para 5, abortus 2) with loss of consciousness. Due to suspicion of eclampsia she was admitted to the Obstetric Ward. During the pregnancy did not stay under prenatal care. Magnetic resonance imaging of the head revealed brain lesions in occipital lobe. Neurological findings were normal. On account of threat of placental abruption and eclampsia an emergency Caesarean section was performed. Clinical condition of mother and child had improved and they were discharged from hospital after 3 weeks of hospitalization. The authors emphasize that patient could have atypical onset of eclampsia. Eclampsia has been found to be more likely in pregnant women with no antenatal care.