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Case 33 - A 25-Year-Old Presents at 35 Weeks’ Gestation with Hypertension, Proteinuria, and Seizure

from Section 4 - Antepartum (Medical Complications)

Published online by Cambridge University Press:  08 April 2025

By
Omari J. Young
Edited by
Peter F. Schnatz ,
D. Yvette LaCoursiere ,
Christopher M. Morosky ,
Jonathan Schaffir ,
Vanessa Torbenson  and
David Chelmow
Peter F. Schnatz
Affiliation:
The Reading Hospital, Pennsylvania
D. Yvette LaCoursiere
Affiliation:
University of California, San Diego
Christopher M. Morosky
Affiliation:
University of Connecticut School of Medicine
Jonathan Schaffir
Affiliation:
The Ohio State University College of Medicine
Vanessa Torbenson
Affiliation:
Mayo Clinic Alix School of Medicine
David Chelmow
Affiliation:
Virginia Commonwealth School of Medicine
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Summary

Hypertension disorders of pregnancy are a clinical spectrum that includes gestational hypertension, preeclampsia, and eclampsia. Hypertensive disorders are a common cause of significant maternal and fetal morbidity and mortality. Therefore, it is important for women’s health clinicians to be knowledgeable of the diagnostic criteria and management guidelines. A 25-year-old gravida 3 para 0 at 35 weeks’ gestation presents with a blood pressure of 165/95, proteinuria, and develops seizures. Based on her clinical presentation, physical examination, and laboratory findings, a diagnosis of eclampsia was made. The patient was promptly stabilized, treated with magnesium sulfate for seizure prophylaxis, received antihypertensive treatment, and delivered in a timely manner. The case highlights the recommended maternal evaluation, fetal surveillance, timing of delivery, and treatment for hypertension disorders of pregnancy.

Keywords

hypertensionpreeclampsiablood pressureproteinuriaeclampsiaseizuremagnesium sulfate
Type
Chapter
Information
Pregnancy Complications
A Case-Based Approach
 , pp. 100 - 102
Publisher: Cambridge University Press
Print publication year: 2025

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References

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