Lesson 1Lab and imaging workup: baseline CBC, platelets, LFTs, creatinine, coagulation panel, urinalysis, and when to use CT/MRI in seizure workupOutlines must-do blood and scan tests in eclampsia, including blood counts, platelets, liver tests, kidney function, clotting, urine checks, and when to do CT or MRI to rule out other brain issues.
Baseline CBC, platelets, and peripheral smearLiver, renal, and coagulation test panelsUrinalysis and protein quantification optionsWhen to order CT versus MRI of the brainInterpreting abnormal results for managementLesson 2Management of complications: HELLP syndrome, DIC, pulmonary oedema, renal impairment — monitoring and interventionsCovers spotting and handling HELLP, clotting issues, lung fluid, and kidney problems in eclampsia, with diagnosis rules, monitoring, drug and support treatments, and ICU transfer points.
Diagnostic criteria and staging of HELLPRecognition and treatment of obstetric DICAssessment and management of pulmonary edemaRenal impairment: labs, fluids, and dialysisICU referral criteria and multidisciplinary careLesson 3Recognition: red flags (severe headache, visual symptoms, hyperreflexia, proteinuria) and seizure characterisationExplains early spotting of pre-eclampsia and coming eclampsia, key signs like bad headaches, vision issues, jumpy reflexes, protein in urine, BP levels, and seizure types for quick care escalation.
Blood pressure thresholds and measurement techniqueHeadache, visual changes, and neurologic signsHyperreflexia and clonus assessment stepsProteinuria testing and alternative markersSeizure phases and postictal evaluationLesson 4Anaesthesia considerations for labour or operative delivery in eclamptic patientsReviews anaesthesia choices and risks for labour or surgery in eclampsia cases, including spinal vs general, platelet limits, airway worries, drug clashes, and BP control during operation.
Pre-anesthesia assessment and optimizationNeuraxial anesthesia: indications and limitsGeneral anesthesia and difficult airway risksAnesthetic drug choices and interactionsIntraoperative blood pressure managementLesson 5Acute antihypertensive therapy: agents (labetalol, hydralazine, nifedipine), IV dosing ranges, titration, and contraindicationsReviews top IV and oral BP-lowering drugs for severe high BP in pregnancy, doses, step-up methods, no-go cases, monitoring, and link with seizure prevention and foetal checks.
IV labetalol dosing and titration protocolIV hydralazine dosing, onset, and redosingOral nifedipine for acute severe hypertensionContraindications and drug interaction pitfallsBlood pressure targets and monitoring frequencyLesson 6Magnesium sulphate: pharmacology, bolus and infusion dosing regimens, monitoring for toxicity, and reversal with calcium gluconateDetails magnesium sulphate workings, loading and drip doses for seizure prevention and treatment, safe levels, bedside toxicity checks, risky cases, and reversal with calcium gluconate and support.
Mechanism of action and therapeutic rangeLoading dose and maintenance infusion regimensClinical and laboratory toxicity monitoringRisk factors for magnesium accumulationCalcium gluconate reversal protocolLesson 7Obstetric decision-making post-stabilisation: indications and timing for delivery, induction vs caesarean at 37+ weeksCovers delivery decisions after stabilisation, signs and timing for birth, induction vs LSCS choices at 37+ weeks, methods, and matching with mother and foetus condition.
Stabilization goals before considering deliveryIndications for immediate versus delayed deliveryInduction methods in hypertensive patientsWhen to choose cesarean over vaginal birthBalancing maternal and fetal risks at termLesson 8Postpartum care, monitoring for recurrent seizures, magnesium maintenance dosing and duration, neonatal considerationsFocuses on after-delivery monitoring post-eclampsia, BP and brain checks, magnesium continuation and stop, repeat seizure handling, and baby checks for drug effects and issues.
Postpartum blood pressure and symptom monitoringDuration and adjustment of magnesium infusionEvaluation and treatment of recurrent seizuresPostpartum counseling and follow-up planningNeonatal assessment after maternal magnesiumLesson 9Immediate seizure management: airway, oxygen, positioning, aspiration prevention, and seizure termination prioritiesCovers instant bedside steps in eclamptic seizure, airway safety, mother positioning, oxygen, choke prevention, safe space, stopping seizure, and shift to main treatment.
Airway opening, suction, and adjunct selectionLeft lateral positioning and uterine displacementOxygen delivery methods and monitoringAspiration prevention and gastric protectionSeizure termination sequence and timingLesson 10Pathophysiology of pre-eclampsia and eclampsia and maternal/foetal implications at termDescribes known causes of pre-eclampsia and eclampsia, faulty placenta, vessel issues, mother organ damage, and effects on mother and baby at full term.
Abnormal placentation and spiral artery changesEndothelial dysfunction and vasospasm cascadeMultiorgan maternal injury mechanismsFetal growth restriction and hypoxia risksLong-term maternal cardiovascular sequelae
