Massachusetts Medical Society

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Abstract
Fulminating eclampsia developed in a 34-year-old gravida III para I at the gestational age of 34 weeks.The previous term pregnancy had been uncomplicated, ending 15 months earlier in a normal vaginal delivery. The history was unremarkable, specifically excluding hypertension, vascular disease, coagulopathy, or previous seizure disorder.At 15 and 19 weeks the patient's blood pressure had been recorded at 130/88 and 120/88 mm Hg, respectively, without albuminuria and with a weight gain of only 2.3 kg. The patient moved to another city and did not see her new obstetrician until the 28th week, when her blood pressure was found . . .

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