Villar M A, Sibai B M
Department of Obstetrics and Gynecology, University of Tennessee, Memphis.
Obstet Gynecol Clin North Am. 1988 Jun;15(2):355-77.
The incidence of eclampsia has decreased over the past two decades. Proper prenatal care with early identification and hospitalization of patients with mild pre-eclampsia is responsible for this reduction. Modifications of current obstetrics teachings designed to heighten awareness of the risk of both midtrimester and late-postpartum eclampsia could further reduce its occurrence. However, there will always be a small number of women in whom eclampsia is not preventable. Eclamptic patients should be counseled regarding the increased risk of pre-eclampsia or eclampsia in their sisters and daughters as well as their increased risk for both recurrence of the disease and perinatal death in subsequent pregnancies.
在过去二十年中,子痫的发病率有所下降。适当的产前护理,包括早期识别轻度子痫前期患者并将其住院治疗,是导致这一发病率下降的原因。对当前产科教学进行调整,以提高对孕中期和产后晚期子痫风险的认识,可能会进一步降低其发生率。然而,总会有一小部分女性的子痫无法预防。对于子痫患者,应告知其姐妹和女儿患子痫前期或子痫的风险增加,以及她们在后续妊娠中疾病复发和围产期死亡的风险增加。