The most common cause of death in women who die from eclampsia is:
- A Pulmonary oedema
- B Disseminated intravascular coagulation
- C Intracranial haemorrhage ✓
- D Acute tubular necrosis
Correct answer: C. Intracranial haemorrhage
Explanation
Intracranial haemorrhage is the leading direct cause of death in eclampsia, driven by loss of cerebral autoregulation at extreme blood pressures. Pulmonary oedema, DIC, renal failure and hepatic rupture are important but less frequent fatal complications. This fact underpins aggressive control of severe systolic hypertension during eclampsia management.
Reference: Williams Obstetrics, 26th ed.
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