Which complication may occur in a patient with preeclampsia before, during, or after delivery?

Prepare for the Advanced Life Support in Obstetrics (ALSO) Test. Engage with interactive flashcards and detailed multiple choice questions, each offering hints and explanations. Ensure your readiness for the certification exam!

In patients with preeclampsia, eclampsia is the most serious potential complication that can occur before, during, or after delivery. Eclampsia is characterized by the onset of seizures in a woman with preeclampsia, making it a critical condition that requires immediate medical attention.

The pathophysiological mechanism of eclampsia is believed to be related to vascular endothelial dysfunction, resulting in increased blood pressure, which can lead to cerebral edema and ultimately seizures. The risk of developing eclampsia escalates as preeclampsia progresses, particularly when blood pressure readings are high or there are other severe signs of the condition.

Focusing on the timing, eclampsia can manifest prior to delivery if preeclampsia is particularly severe, during labor due to stress and changes in blood pressure, or postpartum as the body undergoes extensive physiological changes. Given the potential for sudden onset and severe consequences, addressing eclampsia is vital in the management of women with preeclampsia.

While acute kidney injury is a serious concern in preeclampsia, its occurrence is more so a result of the condition rather than a direct complication like eclampsia, which is an escal

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