PakMediNet Discussion Forum : Obstetrics and Gynecology : recent advances in eclampsia
please send me recent advances bieng done in eclampsia in pakistan or in rest of world ........soon??!!!!!!!!!!
Posted by: mbbsdoc Posts: 2 :: 20-10-2002 :: | Reply to this Message
LOL, what recent advances? Incidence of eclampsia remains the same today as it was in 1967 when I graduated from medical college. There are some general improvements in technology which are equally applicable to all specialities and patients with eclamptic seizure, have a better chance of recovering, like any seizure disorder in general medicine.
Posted by: chameed Posts: 173 :: 02-02-2003 :: | Reply to this Message
the key in eclampsia is the prevention .good antenatal care, recognizing risk factors at booking visit and appropriate follow up leads to early diagnosis and management of moderate/severe pre-ecclampsia, thereby reducing the incidence of ecclampsia.
In developing countries, as antenatal care is still not great, as in a rural/district setting, regular measurements of BP and proteinurea by family practitioners as the least underlines the basic care/management.
hope this info helps.
Posted by: afarrukh Posts: 16 :: 19-05-2005 :: | Reply to this Message
Nice fancy words but the treatment is still delivery of the fetus, regardless of the prenatal care. There aren't any tests to predict the onset of pre/eclampsia.
Posted by: chameed Posts: 173 :: 14-08-2005 :: | Reply to this Message
plz send us recent advances being done in eclampsia in pakistan or rest of the world.
Posted by: wishi Posts: 2 :: 20-08-2005 :: | Reply to this Message
For pre-eclampsia/eclampsia study, you should visit Kinshasa maternity Hospital in Kinshasa, formerly Zaire, now Republic of Congo. They have a very high incidence of eclampsia compared to the West and they don't use any of the phony drugs used in the US/UK and yet their mortality/morbidity is quite low, given their circumstances.
Posted by: chameed Posts: 173 :: 10-12-2005 :: | Reply to this Message
i agree its hard to predict but a care plan in high risk patients can reduce morbidity. delivery esp preterm is not the ideal way of managing these pregnancies.
Posted by: afarrukh Posts: 16 :: 23-03-2007 :: | Reply to this Message
http://www.rcog.org.uk/index.asp?PageID=1542
This is your best bet.All green topped guidelines by RCOG are usually renewed after 2 yrs.Also, try the the NICE website(www.nice.org) and put down Eclampsia in the search tool.Good Luck!
Posted by: shaziakhan Posts: 3 :: 28-10-2007 :: | Reply to this Message
Since I don't have to appear in any exams etc., my replies to such infantile questions and answers, are always clinically oriented and some times they are not understood but that's ok. Its nice to have adequate prenatal care and rest of the verbiage but at the end of day, in labor and delivery room, you have to make a decision' sometimes very quickly and that's called application and tailoring of your knowledge to the specific needs of that particular patient. That's what I call practice of medicine. Whether its evidence based or not, if the outcome is good, there is no problem but if the outcome is bad, even if it is evidence based practice, some one has to pay the price. Guidelines are written for guidance and that's about it, "just guidance". People who write guidelines, most of the times have nothing to do with patient management.
Posted by: chameed Posts: 173 :: 19-12-2007 :: | Reply to this Message