Study note
Obstetrics & GynecologyHypertensive Disorders in Pregnancy

Referral and transport of an eclamptic patient

THE CONTEXT
An eclamptic patient requires transfer to a tertiary care center with neonatal and obstetric intensive care management.

Referral arrangements

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Treatment should not be continued in a primary care hospital. The tertiary care medical team should be informed before transfer.
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All maternal records and a detailed summary should accompany the patient.

Stabilization and medication

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Blood pressure should be stabilized and convulsions arrested.
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The stated magnesium sulfate loading treatment is 4 g intravenously with 10 g intramuscularly.
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Labetalol 20 mg intravenously is given to control hypertension. A diuretic is given if pulmonary edema is present.

Transport support

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A medical professional or trained midwife should accompany the patient.
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The ambulance should be equipped to prevent injury and recurrent fits and to clear the air passage.
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