Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy (Pre-eclampsia, Eclampsia)

A woman who had eclampsia in a previous pregnancy asks about recurrence risk in her next pregnancy. Which statement is accurate?

  • A Eclampsia never recurs because it confers lifelong immunity
  • B Recurrence risk of eclampsia in a subsequent pregnancy is approximately 1 to 2 percent
  • C Recurrence risk of eclampsia exceeds 25 percent in any subsequent pregnancy
  • D Risk depends solely on whether magnesium sulfate was given during the index episode
Correct answer: B. Recurrence risk of eclampsia in a subsequent pregnancy is approximately 1 to 2 percent

Explanation

Women with prior eclampsia have roughly a 1 to 2 percent chance of recurrent eclampsia, although the recurrence risk of pre-eclampsia itself is much higher, around 15 percent or more. Immunity does not develop, and the risk figure far exceeds one quarter only in selected high-risk groups, not routinely. Prior treatment details do not alter future biological risk. These figures are quoted from standard obstetric texts including Williams Obstetrics.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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