Can a seizure at 32 weeks be due to eclampsia?

Question

Hello doctor,

I am 32 weeks pregnant and experienced my first seizure yesterday, which was very frightening for both my husband and me. I have no personal history of epilepsy, but over the past week, I have been having severe headaches and noticeable swelling in my hands and feet.

I am concerned that this could be related to preeclampsia or possibly eclampsia. The emergency room doctor has recommended starting anti-seizure medication, but I am worried about how it might affect my unborn baby.

Should I be preparing for an early delivery at this stage? I was originally planning for a natural birth, but is that still a safe option after having a seizure during pregnancy? Please help.

Thank you in advance.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

1. Strong suspicion of eclampsia.

A first-time seizure during pregnancy, especially with swelling in the hands and severe headaches, is highly suggestive of eclampsia (a serious condition in pregnancy causing seizures, usually due to high blood pressure).
Over 90 percent of such presentations are due to eclampsia.

2. Anti-seizure medications are not enough.

Anti-seizure drugs do not treat the underlying cause of eclampsia.
Without addressing the root problem, seizures may continue or worsen.

3. Serious risks if left untreated

Untreated eclampsia can lead to unconsciousness, multi-organ damage, or even death.
It also poses severe risks to the unborn baby.

4. Immediate steps to take

Monitor blood pressure at least four times a day.
Return to the emergency department as soon as possible.
Ask the doctor directly if they suspect eclampsia.

5. Recommended investigations

Obstetric ultrasound: To check fetal health and placental function.
Kidney function tests: Electrolytes, urea, creatinine, and uric acid.
Liver function tests: To assess liver involvement.
Complete blood count (CBC): To evaluate anemia, platelet count, and clotting function.

6. Probable diagnosis

Based on symptoms, the most likely diagnosis is eclampsia.

7. Treatment and management

Hospital management is essential to prevent further seizures and complications.
In some cases, early delivery may be necessary for the safety of both mother and baby.
Timely intervention greatly improves the chances of a healthy outcome.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.