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Mom of a 1 yr old girl1 Year ago
Q.

#asktheexperts Hello I’m the mother of 2 babies And I’ve delivered my 2nd baby 12 days back After 7th day of delivery I got epilepsy (fits). This is the first time Ive got fits in my lifetime I seriously wanted to know what’s the reason behind this issue And what precautions do I have to take

1 Answer
POOJA KOTHARIMom of a 8 yr 5 m old boy1 Year ago
A. Experiencing epilepsy (seizures or fits) for the first time after childbirth, also known as *postpartum seizures*, can be concerning. It’s crucial to get a medical evaluation to understand the cause and to ensure appropriate management. Several potential reasons could explain why you had fits for the first time after delivering your second baby: ### Possible Causes of Postpartum Seizures: 1. **Eclampsia:** - Eclampsia is a condition where high blood pressure and excess protein in the urine lead to seizures, usually after childbirth. It is a severe form of preeclampsia and can occur within 48 hours to several weeks after delivery. - Symptoms include high blood pressure, headaches, vision problems, upper abdominal pain, and seizures. 2. **Sleep Deprivation:** - Having a newborn can cause significant sleep deprivation, which can trigger seizures in people who are predisposed to them. 3. **Electrolyte Imbalance:** - Postpartum recovery may cause dehydration or an imbalance in electrolytes (such as sodium, potassium, calcium), which could trigger seizures. 4. **Stress and Hormonal Changes:** - The postpartum period involves significant hormonal shifts, stress, and emotional strain. These changes can sometimes lead to the onset of seizures. 5. **Postpartum Infection:** - Severe infections after childbirth, such as uterine infections or sepsis, can affect the nervous system and trigger seizures. 6. **Pre-existing Neurological Conditions:** - While this was your first seizure episode, some women may have an underlying seizure disorder that surfaces only after childbirth due to stress, hormonal shifts, or other factors. ### Steps You Should Take: 1. **Immediate Medical Consultation:** - Since this is your first experience with seizures, consult a neurologist or your obstetrician immediately. They may perform diagnostic tests such as an EEG (electroencephalogram), blood tests, and imaging studies (CT or MRI scan) to determine the cause. 2. **Monitor Blood Pressure:** - If your blood pressure was elevated during pregnancy or delivery, it’s essential to monitor it closely. High blood pressure could point towards eclampsia as the underlying cause. 3. **Medication:** - If diagnosed with epilepsy or eclampsia, your doctor may prescribe anti-seizure medications or blood pressure management drugs. It's important to follow this treatment plan carefully. 4. **Rest and Hydration:** - Ensure you get enough rest, hydration, and nutrition. Lack of sleep and dehydration can exacerbate your condition. 5. **Postpartum Care and Follow-up:** - Attend all postpartum checkups to ensure there are no complications, and inform your doctor about any recurring symptoms like headaches, blurred vision, or dizziness. ### Precautions Moving Forward: - **Avoid Sleep Deprivation:** Try to rest as much as possible, even with a newborn. Get help from family or friends if needed. - **Regular Health Monitoring:** Keep an eye on your blood pressure and general health, as postpartum recovery is critical. - **Avoid Driving:** Until your seizures are controlled or further evaluated, avoid activities like driving, as sudden seizures can pose risks. It’s essential to act swiftly and follow up with your healthcare provider to ensure you and your baby stay safe.
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