Talk:Eclampsia

message: This term occurs in the article, but it is not defined in the article. There is also no link to a definition. A search for "hypoperfusion" in wikipedia leads to an article on ischemia. It appears that they are synonyms, but I don't have the required medical knowledge. Ileanadu (talk) 02:17, 10 December 2008 (UTC)
thread_title:  Hypoperfusion 

message: I think what some of the above entries are getting at is that these women apparently had no prior symptoms, or didn't recognize them, which is contradicted by the statement that:
    "rarely does eclampsia occur without preceding preeclamptic symptoms"
Ileanadu (talk) 02:25, 10 December 2008 (UTC)
thread_title:  Preeclamptic Symptoms 

message: Is this worth mentioning here?  Hypocalcaemia in dogs is referred to as eclampsia/peuperal tetany when it occurs due to their lactation (doesn't usually happen at birth like it does in people). Brionyvet (talk) 22:45, 9 September 2010 (UTC)
thread_title: Eclampsia in Animals

message: Deleted several personal stories from this talk page.  Please see in the directions above, this is not a forum.  It is for discussion about editing the article. 98.232.225.61 (talk) 17:35, 17 November 2013 (UTC)
thread_title:  Edits to talk page 

message: In the Convulsions section, there appears to be an incomplete sentence:
Prevention of convulsion is usually done using magnesium sulphate. The idea to use Mg2+ for the management of eclamptogenic toxemia dates from before 1955 when it was tested and published—the serum The international MAGPIE study, of 2004, evaluated the long-term implications of the magnesium sulphate therapies.
Note that something needs to follow "the serum"; "The international MAGPIE study..." begins a new sentence. It's also unclear what was tested and published—what does the "it" refer to? The idea? Very confusing; more clarity would be helpful. I have tried to find relevant information; I think what is being referenced is the serum test for protein in the urine, but I don't have the necessary knowledge to complete the sentence. I will check the edit history to see if part of the sentence was inadvertently removed accidentally. —D'Ranged 1 talk 13:22, 26 April 2014 (UTC)
thread_title:  Convulsions section edit needed 

message: This article needs a serious re-write.  It suffers badly from a disease common on wikipedia:  it is written by experts *for* experts.  Wikipedia is an *encyclopedia*, not a medical textbook.  One should not need to already have a degree in medicine to understand the article.  I mean, seriously, what lay person coming to this article is already going to be familiar with words and phrases such as "pathophysiological process", "toxemic changes", "crystalloid solutions for intravascular volume expansion", "immunologically mediated", "vasoactive agents", "altered atrioventricular conduction", or "intubation and mechanical ventilation as adjuvants"?  Seriously?  If I were a pregnant woman and my doctor started decribing my conditions in such terms, I'd run out and get another doctor!  "adjuvants"???  What percent of the population do you think knows the word "adjuvant"???  I'm not even talking about the great unwashed masses.  What percentage of *Harvard* graduates do you think knows the word "adjuvant"???  Stop showing off how smart you are and write an article that a reasonably educated person can understand.  — Preceding unsigned comment added by 71.212.36.210 (talk) 17:41, 5 December 2014 (UTC)
replies: text: Your comments in my view are spot on. I will begin to mold the article toward the general biology high school student, who I believe should be the prototype target for all Wikipedia science and medicine articles. I would like your feedback when I am finished: it will take awhile. Also, I would urge you to choose and use a Username so I can relate to you as a person not a number. Then become an editor! You can start by looking up the definition of adjuvant and replacing it with a simpler term that you choose. Incidentally, the "you" you are addressing is actually 224 people who have made 422 revisions over 12 years. I just spent 15 minutes editing and am now the number 6 top all-time editor by number of edits! Regards, IiKkEe (talk) 19:14, 8 February 2015 (UTC)
thread_title:  Archtypically Bad Article 

message: * Expand on complications related on labor and delivery. In particular, focus on factors that contribute to the decision to deliver.
* Expand on treatment options related to labor and delivery. 
* Expand on treatment options related to blood pressure management including thresholds and other pharmacological options
Terry.vo (talk) 21:04, 30 July 2019 (UTC)
thread_title:  Foundations 2 2019, Group 8a goals 

message: The group has achieved its goal for expanding on L&D complications and treatment by talking about fetal bradycardia and how that leads to C-section if not resolved in 15 minutes. However, I will say that Jane and Zac’s edits were in conflict because Zac seemed to say that C-sections are generally preferred in the face of specific complications. A clarifying additional sentence on how there may be a preferred delivery mode for particular complications of eclampsia but not for eclampsia in general. Terry’s edits on BP control to include why BP control is important and when it is indicated will be extremely helpful for patients to both be more concerned about their BP but not overly slow if their BP is only slightly elevated. This draft submission reflects a neutral point of view for treatment options with no strong advocation for one treatment over other viable treatments.
Vivianle17 (talk) 20:52, 5 August 2019 (UTC)
thread_title:  Foundations 2 2019, Group 8c Peer Review, Vivian 

message: The group addressed their first goal of expanding on the decision to deliver by explaining how a bradycardic fetal heartbeat warrants a C-section if not resolved in 15 minutes. Their second goal of expanding on treatments could be elaborated more on as a previous editor mentioned the 4  goals but there was no mention of how one goes about addressing these goals. Their third goal about high blood pressure thresholds and management options was pointed out by other editors but there could be room for elaboration in why hydralazine is suggested or what to do if a pregnant patient is already on a medication for high blood pressure. This group's additions to the text fell in line with the Wikipedia manual of style. They used the proper sentence structure and followed the steps for proper citations.
Mvirk422 (talk) 02:13, 6 August 2019 (UTC)
thread_title:  Foundations 2 2019, Group 8C peer review, Mehr 

message: Proposed Changes: Delete the first sentence ("The hallmark symptom..."). Insert "while seizures are most common in the third trimester, they may occur any time from 20 weeks of pregnancy until 6 weeks after birth" Rogers V.L., & Roberts S.W. (2021). Preeclampsia-eclampsia. Papadakis M.A., & McPhee S.J., & Rabow M.W.(Eds.), Current Medical Diagnosis & Treatment 2021. McGraw-Hill. as the second sentence. 
It is important to make the distinction between pre-eclampsia and eclampsia very clear, specifically that eclampsia is the occurrence of a seizure in a patient with diagnosed pre-eclampsia. The second sentence does this well and will be moved to the top. The first sentence, which we propose should be deleted, is ambiguous but introduces an important point about the timing of seizures. A sentence will be added to clarify the time-frame in which eclamptic seizures are observed.
CMorrison2020 (talk) 15:10, 3 December 2020 (UTC)
replies: text: Please see comments in other sections about adding references using the tool and practicing in your sandbox! Your citation looks good in the box below, however it is not formatted with the proper tool, from what I can see. If you need help please let me know!JenOttawa (talk) 04:37, 5 December 2020 (UTC)
thread_title:  Diagnosis 

message: My proposed changes are adding to the signs and symptoms section to include the vital sign of 140/90 mmHg as a sign of pre-eclampsia: “Repeated blood pressure measurements of 140/90mmHg is indicative of pre-eclampsia.” 
This sentence will follow “Eclampsia is a disorder of pregnancy characterized by seizures in the setting of pre-eclampsia.” 
I decided that this change was necessary because the elevated blood pressure is a vital sign that is used to diagnose pre-eclampsia which can become eclampsia with the onset of seizures. Although there is a section under “diagnosis” that references blood pressure, there is currently no mention of this in the signs and symptoms section. This information is from the textbook source’s comment that, “Repeated blood pressure readings of 140/90 mm Hg taken 6 hours apart should be considered evidence of preeclampsia when found after 20 weeks”. Mehta S.H., & Sokol R.J. (2019). Assessment of at-risk pregnancy. DeCherney A.H., & Nathan L, & Laufer N, & Roman A.S.(Eds.), CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 12e. McGraw-Hill. https://accessmedicine-mhmedical-com.proxy.queensu.ca/content.aspx?bookid=2559§ionid=206958883
Gezheng (talk) 15:56, 3 December 2020 (UTC)
replies: text: Thanks for sharing this  do you mind adding your textbook citation using the tool that we practiced in the wiki skills session? This will ensure it is formatted properly in the actual article. It is not as important here on the talk page, but please practice here or in your sandbox to ensure that it will look good in your final article improvement on Monday. Also, if your textbook has page #s, please include the pages that you found this evidence. Not all online books do, so please disregard if this is not the case.JenOttawa (talk) 14:30, 5 December 2020 (UTC)
thread_title:  Signs & Symptoms 

message: Proposed Changes
1. Delete and replace the following: “Serum magnesium concentrations associated with maternal toxicity as well as neonatal respiratory depression, low muscle tone, and low Apgar scores[48] are:
•	7.0–10.0 mEq/L: loss of patellar reflex
•	10.0–13.0 mEq/L: respiratory depression
•	15.0–25.0 mEq/L: altered atrioventricular conduction and (further) complete heart block
•	>25.0 mEq/L: cardiac arrest”
It will now be replaced with a sentence following this:
"With intravenous administration, the onset of anticonvulsant action is fast and lasts about 30 minutes….. proportional to the plasma concentration and glomerular filtration.[49]" My addition: Magnesium sulfate is associated with several minor side effects; serious side effects are uncommon, occurring at serum concentrations > 7.0 mEQ/L.  Serious toxicity can be counteracted with calcium gluconate.  Smith, J. M., Lowe, R. F., Fullerton, J., Currie, S. M., Harris, L., & Felker-Kantor, E. (2013). An integrative review of the side effects related to the use of magnesium sulfate for pre-eclampsia and eclampsia management. BMC Pregnancy and Childbirth, 13(1). https://doi.org/10.1186/1471-2393-13-34 
Toxicity is a rare incident and toxic serum concentrations are unnecessary in this section, one sentence on this is sufficient with the addition of information about the antidote.
2. Move the sentence “Effective anticonvulsant serum levels range from 2.5 to 7.5 mEq/liter” after:
The study demonstrating the effectiveness of magnesium sulfate for the management of eclampsia was first published in 1955.[47] “Effective anticonvulsant serum levels range from 2.5 to 7.5 mEq/liter.[49]” 
For logical flow, effective serum levels should be mentioned before the discussion about the onset of magnesium sulfate and how it’s excreted.  
Eclampsia2020 (talk) 17:41, 3 December 2020 (UTC)
replies: text: Thanks for this information. When editing the actual article, please be sure to add your citations in the correct format, using the tool that we practiced in the wiki skills lecture. JenOttawa (talk) 04:31, 5 December 2020 (UTC)
thread_title:  Treatment 

message: Proposed Changes:My proposed changes are to the risk factors section. 
Following the sentence: "Women who have experienced eclampsia are at increased risk for pre-eclampsia/eclampsia in a later pregnancy." I will add the following: "People of certain ethnic backgrounds can have an increased risk of developing pre-eclampsia and eclampsia. The occurrence of pre-eclampsia was 5% in white, 9% in Hispanic, and 11% in African American women. Black women were also shown to have a disproportionately higher risk of dying from eclampsia." Hypertensive disorders. Cunningham F, & Leveno K.J., & Bloom S.L., & Dashe J.S., & Hoffman B.L., & Casey B.M., & Spong C.Y.(Eds.), (2018). Williams Obstetrics, 25e. McGraw-Hill. https://accessmedicine.mhmedical.com/content.aspx?bookid=1918§ionid=169756263  Gabrielee.j (talk) 18:33, 3 December 2020 (UTC)
replies: text: Thanks for sharing this. Please be sure to add your citation using the tool as demonstrated in class (pasting in the PMID/DOI to autogenerate the entry in the correct format. Please practice in your sandbox to be ready to edit the article on Monday.JenOttawa (talk) 04:31, 5 December 2020 (UTC)
thread_title:  Risk Factors 

message: — Assignment last updated by Mitac10 (talk) 06:05, 18 September 2022 (UTC)
thread_title: Wiki Education assignment: UCSF SOM Inquiry In Action-- Wikipedia Editing 2022

message: === Lead: ===
* A suggestion might be to clarify the introductory sentence as the understanding of eclampsia is currently dependent on having a clear understanding of pre-eclampsia. A suggestion might be to explain that eclampsia is a progression of pre-eclampsia, and includes the signs and symptoms of pre-eclampsia with the development of seizures.
* A potential addition might also be the natural course of disease and how it leadsto death of the parent and fetus
* I like the updated language which reflects inclusivity!
=== Content ===
===== Signs and Symptoms =====
* In signs and symptoms, it may be helpful to have a sentence about what the triad of symptoms for pre-eclampsia is to illustrate the eclampsia is the same but with seizures, and a progression of that disease state
* It could also be helpful to note what trimester/time of pregnancy one should be worried about the symptoms of eclampsia
* I would suggest adding some WIkilinks to the signs and symptoms as some clinical language is used and it might help to break those down for patients seeking explanation (ie Photophobia, altered mental status)
* Consider citing a source for the last comment about the cerebral signs preceding the convulsion.
==== Onset ====
* I like that there is a section for onset because time course is important in consideration of treatment modalities (ie immediate delivery)
* I would suggest adding in more exact onset of eclampsia, and adding weeks of pregnancy to be exact with timing to be clinically relevant for patients
* Potentially adding in when patients are typically monitored for pre-eclampsia and how they are monitored might be helpful
==== Characteristics ====
* This section could have more Wikilinks to symptoms for people to easily look up signs/symptoms.
=== Tone and Balance ===
* Great tone and balance of sources throughout the article! The article took a very neutral standpoint which is helpful to readers.
* The content doesn't seem to sway towards one side or the other, and doesn't persuade the readers of a specific viewpoint
=== Sources ===
* Consider adding in more diverse sources within the mechanism section as it generally borrows from one main source.
* The source for the epidemiology cited in the introduction ("Pre-eclampsia is estimated to globally affect about 5% of deliveries") is from 2013, so it might be helpful to look at current global burden of disease.
=== Organization ===
* The section headers are very useful for patients to find information that is going to be useful for them, like symptoms and complications.
* Consider bringing the risk factors section up higher closer to signs and symptoms, or within signs and symptoms, so the symptoms and progression of disease have more context.
* The content is concise and is not overly wordy, which gets across needed information to readers.
* Consider splitting the consequences into parental and fetal consequences
Great job overall on editing the article, hopefully some of these suggestions help out with the editing process! AN ucsf (talk) 06:00, 17 September 2022 (UTC)
thread_title:  UCSF SOM Inquiry in Action, Peer Review 2022 - Aishwarya 

message: * The section headers are very useful for patients to find information that is going to be useful for them, like symptoms and complications.
* Consider bringing the risk factors section up higher closer to signs and symptoms, or within signs and symptoms, so the symptoms and progression of disease have more context.
* The content is concise and is not overly wordy, which gets across needed information to readers.
* Consider splitting the consequences into parental and fetal consequences
Great job overall on editing the article, hopefully some of these suggestions help out with the editing process! AN ucsf (talk) 06:00, 17 September 2022 (UTC)
thread_title:  '''Organization''' 

message: Intro
* Consider defining edema or providing a link
* Does blood pressure medications actually treat preeclampsia or does it reduce the risk of the cardiovascular events (ie. Strokes) that may occur with preeclampsia? I'm referring to this sentence: "Treatment options include blood pressure medications such as hydralazine and emergency delivery of the baby either vaginally or by cesarean section."
Risk factors
* Consider listing out the various list factors and descriptions in bullet point format so it's easier to read/digest
Laboratory testing
* Consider specifying what kind of abnormal lab values are associated with pre-eclampsia (ie. Hemolytic anemia, elevated liver enzymes, high creatinine, etc) 
Treatment
* Consider expanding this section and adding citations
General comments
* Appreciate the gender inclusive language throughout
* Great job at using neutral language
* The "Complications" section did a really good job of explaining complex medical diseases and outcomes in simpler language
* The Pop Culture section is fun!
* Some information lack citations (treatment section, first paragraph of delivery section), though this was not written by the medical students involved in this project
Great job editing! Mitac10 (talk) 05:15, 18 September 2022 (UTC)
thread_title:  UCSF SOM Inquiry in Action, Peer Review 2022 - Laksmita 

message: Intro:
Good, concise, includes some epi, Maybe consider reorganizing the intro summary to have the epi stuff first and the word origination stuff first so that it doesn't feel so tacked on at the end. Maybe add a sentence about what ethnic/racial groups have a greater mortality rate when discussing deaths associated with eclampsia 
Is the prevalence of eclampsia decreasing or increasing? are more pregnant persons in recent years being diagnosed?
Content
- Signs and Symptoms: Consider changing the image associated with this section to be a graphic showing how prevalent having some of these symptoms is prior to the seizure are. I don't really think that a visual of the quadrants is that helpful for having a deeper understanding of this pathology. 
- Differential Diagnosis: It states that the eclampsia seizures need to be distinguished from any other seizure inducing conditions, may be worth while to state how they distinguish between those seizures
Tone
- Tone is very informational and professional.
- Jargon is utilized but you often have more lay terminology in (...)
Organization
- Consider revising the organization of the article as a whole. Going from section to section does feel a bit disjointed. I would suggest that the differential diagnosis is higher up in the article. (maybe having the differential up top and then hone in on the mechanism and then signs and symptoms and then treatment, etc.)
General Comments: 
- Non gendered language is consistent throughout article and not in an overly wordy way- Great job
CNICHOLAS6533 (talk) 13:19, 19 September 2022 (UTC)
thread_title:  UCSF SOM Inquiry in Action, Peer Review 2022- Catherine