A Patient Delivers Vaginally After an Eclamptic Seizure

  • Thomas L. Archer


A 31-year-old pregnant woman at term, G2P1, is sent from clinic to Labor & Delivery (L&D) because of preeclampsia, with a blood pressure of 180/100, proteinuria, sudden weight gain, a severe frontal headache, and facial swelling. In clinic the week before, her BP had been 118/72 and her earlier blood pressures during pregnancy had all been normal. In the clinic they gave her acetaminophen for her headache, but on arrival in L&D she says that there has been no improvement in her pain.


  1. 1.
    The Eclampsia Checklist 2017 of the American College of Obstetrics and Gynecology is an excellent resource and was a source for the information in Box 11.1. Accessed 8 April 2019 at:

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Thomas L. Archer
    • 1
  1. 1.Department of Anesthesiology 2008–2015University of California San Diego School of MedicineSan DiegoUSA

Personalised recommendations