Maternal Medicine - Collapse

PE

Seizure/eclampsia

  • Epilepsy can present during pregnancy.
  • Consider alcohol or drug withdrawal.
  • Pre-eclampsia affects 10% of prims.
  • Pre-eclampsia features:
    • Raised BP, urea, creatinine, ALT, urate
    • Proteinuria
    • Reduced platelet count, abnormal coagulation
  • Pre-eclampsia/eclampsia can develop antepartum (30%), intrapartum (30%), postpartum (40%).

Obstetric haemorrhage

Cerebral vein thrombosis

  • Usually postpartum.
  • Features: headache, vomiting, photophobia, reduced LoC, +/- fever, leucocytosis.
  • Contrast CT/MRI needed.