Peri-partum Seizure

🔑 Key Priorities

  • Protect airway, stop seizure

  • Manage pre-eclampsia and deliver if needed

🧠 Team Actions

Role

Task

Team Leader

Identify likely cause (eclampsia vs epilepsy), direct Rx

Airway Manager

Lateral position, suction, Oâ‚‚, prep for intubation

Drug Assistant

Draw up magnesium, benzodiazepines

🧭 Management Algorithm

  1. Ensure patient safety (lateral position, clear airway)

  2. Administer 100% O₂ ± intubate if needed

  3. First line: magnesium sulphate 4g IV over 10 min

  4. Then infusion 1g/hr for 24 hrs (monitor reflexes, RR, urine output)

  5. If seizing persists: midazolam 1–2mg or clonazepam 1mg

  6. Check BP and treat if >160/110 (labetalol, hydralazine)

  7. Arrange delivery once stable

🔄 Ideal Crisis Flow

           Peripartum Seizure
                 ↓
     Airway Protection + Lateral Position
                 ↓
      Magnesium Bolus + Infusion Started
                 ↓
     Benzodiazepines if Ongoing Seizures
                 ↓
        Treat Hypertension + Plan Delivery

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