Peri-partum Seizure

🔑 Key Priorities

• Protect airway, stop seizure

• Manage pre-eclampsia and deliver if needed

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🧠 Team Actions

Role	Task
Team Leader	Identify likely cause (eclampsia vs epilepsy), direct Rx
Airway Manager	Lateral position, suction, O₂, prep for intubation
Drug Assistant	Draw up magnesium, benzodiazepines

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🧭 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

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🔄 Ideal Crisis Flow

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