Eclampsia despite strict dietary sodium restriction.
The classic indication for prescribing dietary sodium restriction in pregnancy has been the prevention of eclampsia. We describe a case of intrapartum eclampsia in a 24-year-old nulliparous woman. A strongly sodium restricted diet was prescribed because of pre-eclampsia. Compliance to the diet was checked with 24-hour urinary sodium excretion. This report, describing the first case of eclampsia despite neglectable urinary sodium excretion, adds to the view that sodium restriction in pregnancy is obsolete.
Delemarre
F M
FM
Department of Obstetrics and Gynaecology, Catharina Hospital Eindhoven, The Netherlands. f.delemarre@obgyn.azn.nl
Steegers
E A
EA
Berendes
J N
JN
de Jong PA
D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D004039:Diet, Sodium-Restricted; D004461:Eclampsia / Q000175:diagnosis / Q000517:prevention & control*; D005260:Female; D006801:Humans; D011225:Pre-Eclampsia / Q000178:diet therapy; D011247:Pregnancy; D011256:Pregnancy Outcome; D012640:Seizures / Q000188:drug therapy; D014427:Twins
D000927:Anticonvulsants