ECLAMPSIA KIT

Every Maternity Setup should be Ready

Dr. Shashwat Jani.M.S. ( Gynec)

Diploma In Advance Endoscopy.

Consultant Assistant Professor,Smt. N.H.L. Municipal Medical College,

Sheth V. S. General Hospital, Ahmedabad.

Mobile : +91 99099 44160.E-mail : drshashwatjani@gmail.com

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Greetings From Ahmedabad . . .

B.P. may be normal…!!!

Treat all women with

convulsions in pregnancy as

Eclampsia until proven otherwise.

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Need Of Eclampsia Kit...

Eclampsia is the one of the major cause of maternal morbidity and mortality worldwide.

Approximately 72,000 pregnant women die every year because of eclampsia and severe preeclampsia. That is nearly 200 women every day.

Preeclampsia - eclampsia rank 2nd only to hemorrhage as a specific, direct cause of maternal death.

The risk that a woman in a developing country will die of pre-eclampsia or eclampsia is about 300 times that of a woman in a developed country.

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According To N.E.R…

Greater numbers of convulsions prior to care, may be due to lack of facilities nearby.

Time spent in access to care is crucial and may alter maternal and fetal out come. Convulsions post admission (76.6%), indicate lack of standardized care protocol, for eclampsia which is mandatory.

Time spent between first episode of convulsion and access to critical care is between 1 to 4 hours in majority (48.33%) of patients.

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Need Of Eclampsia Kit …

Eclampsia is one condition which in spite of all progress in the medical field is still on the rise.

Yet the majority of deaths related to

pre-eclampsia and eclampsia could be avoided if women received timely and effective care, delivered according to evidence-based standards.

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Principles of Management

Resuscitation - Maintain Airway.

Oxygen Administration.

Arrest Convulsions.

Hemodynamic Stabilization ( Control of B.P. ) .

Collect blood sample for Investigations.

And,

For all these,

Everything should be at easily approachable one place

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Who should Have …

Each & every Maternity Home should have…

Starting from Primary Health Centre to Tertiary care hospital.

All Ambulance Service Vehicles.

Each Maternity Home / Ambulance should prepare its own medication tool box as per requirement.

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Contents of Eclampsia Kit

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Airway Equipment :

Guedel Airways: sizes 4, 3, and 2

Laedal bag, mask and valve

Green oxygen tubing 2 meters

Yankeur sucker

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Venous Access :

20G Cannula (pink) x 2

18G Cannula (green) x 2

16G Cannula (grey) x 2

Tourniquet x 1

Fixation tape x 1 Roll

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I.V. Fluids :

Ringer Lactate ( 1 litre ) – 1

Normal Saline ( 100ml ) – 1

Distill Water ( 10 ml ) – 5

I . V. Set – 1

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Disposable Syringes : 20 cc × 2

10 cc × 5

5 cc × 5

Needles : 18 G × 5

20 G × 5

22 G × 5

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Drugs :

Inj. MgSo4 ( 50 % ) ( 2 ml ) – 16 Amp.

Inj. Labetolol ( 4ml ) ( 20mg ) -- 10 Amp.

Inj. Hydralazine ( 1 ml ) ( 20 mg ) – 2 Amp.

Inj. Calcium gluconate ( 10 % ) ( 10ml ) – 1 Amp.

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Inj. Lignocaine ( 2 % ) – 1 Bulb.

Cap. Nifedipine ( 10 mg ) -- 2 cap.

Inj. Antibiotic ( Ampicillin OR Cephalosporin ) – 1

Inj. Diazepam – 2 Amp.

Inj. Atropine, Adrenaline , Lasix -- 3 Amp.

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Other equipments :

Blood sample collection bottles

Spirit swab bottle.

Urine Albumin Strip bottle

Foley’s Catheter ( No. 16 )

Urine bag.

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Reflex Hammer

Surgical Gloves ( 5 pairs )

B.P. Instrument

Stethoscope

Suction Catheter.

Check List & Patient Monitoring Chart.

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Maintain the Check List regularly.

Check the expiry date of the drugs on regular interval.

Keep the Kit at easily approachable place.

Inform all Medical & Paramedical staff about place where kit has been kept.

Give training to all paramedical staff .

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Benefits Of Kit :

All things at one place.

No need to rush for each and every thing.

Faster and Stress free Management.

Better maternal and fetal Outcome .

Reduces maternal morbidity & mortality.

Better option for PHC and Ambulances.

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Thank you

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