Lesson 1Lab and imaging workup: baseline CBC, platelets, LFTs, creatinine, coagulation panel, urinalysis, and when to use CT/MRI in seizure workupOutlines key lab and scan checks in eclampsia, including starting blood count and metabolic tests, clotting and kidney panels, urine tests, 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 interventionsExplores spotting and handling HELLP, DIC, lung water, and kidney problems in eclampsia, including diagnosis rules, monitoring plans, drug and support actions, 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, highlighting main signs, blood pressure levels, nerve signs, protein in urine check, and fit description to guide urgent care ramp-up.
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 and operation delivery in eclampsia patients, including spinal vs general, platelet levels, airway worries, drug clashes, and during-op blood pressure control.
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 first-choice IV and oral blood pressure lowering drugs for severe high BP in pregnancy, including dose ranges, step-up strategies, no-go cases, monitoring, and link with fit prevention and baby 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 drug action, loading and ongoing dose plans for fit prevention and treatment, target levels, bedside toxicity watch, high-risk 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+ weeksAddresses obstetric choices once patient is stable, including reasons and timing for delivery, delivery method options, induction ways, caesarean reasons, and coordination with mum and baby status.
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-birth monitoring post-eclampsia, including BP and nerve watch, magnesium ongoing and weaning, handling repeat fits, and baby check 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 immediate bedside steps during eclamptic fit, focusing on airway safety, mum positioning, oxygen give, choke prevention, safe space, fit stopping, and quick 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/fetal implications at termDescribes current view of pre-eclampsia and eclampsia body processes, including faulty placenta attachment, vessel lining damage, mum organ harm, and resulting mum and baby effects 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
