Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Suggest Treatment For Convulsions And Fever During Pregnancy
HIE i would like to inquire whats the best course of management for the below case. i have a lady who is 18years old , grav 3 para 2, at 24 weks gestation , she has fevers and has been convulsing hourly for the past week. she has history of Eclampsia in the previous pregnancy and lost her baby , miscarriage . antenatal visits Examination findings . GCS is 14/15 but no neck stiffness, she has normal Bps , the chest exam is unremarkable , the fundal height is 24 weeks , the Fetal beat is not heard ,no pedal oedema . the urine protein is negative, she got tested for malaria it is negative , then she had a lumber puncture , the csf analysis are still on going . her treatment course : phenorbarb, Diazepam , initial course of Quinine.
Tue, 26 Apr 2016
Hello dear
Understand your concern.
Fetal abnormality depend upon the seizure frequency and Level of the anti seizure drugs.
You should consult the best obstetricians and start the treatment of seizure.
90% delivery may be uncomplicated if done under the supervision of obstetricians, anesthetics and paediatricians.
First aim is to stop the seizure with first aid therapy and intravenous diazepam and then maintenance by phenytoin .
Injection/tablet paracetamol based on severity
Better to keep on mono therapy, As most of the the anti epileptic drugs are folate antagonist, they can cause congenital defects in the fetus.
At he time of labor there may be chance of fetus and mother distress, so labor should be closely supervised.
Vitamin K and folate should be given.
Hope this may help you
Best regards
Dr. sagar
Understand your concern.
Fetal abnormality depend upon the seizure frequency and Level of the anti seizure drugs.
You should consult the best obstetricians and start the treatment of seizure.
90% delivery may be uncomplicated if done under the supervision of obstetricians, anesthetics and paediatricians.
First aim is to stop the seizure with first aid therapy and intravenous diazepam and then maintenance by phenytoin .
Injection/tablet paracetamol based on severity
Better to keep on mono therapy, As most of the the anti epileptic drugs are folate antagonist, they can cause congenital defects in the fetus.
At he time of labor there may be chance of fetus and mother distress, so labor should be closely supervised.
Vitamin K and folate should be given.
Hope this may help you
Best regards
Dr. sagar
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Cerebrospinal fluid
Loading Online Doctors....