Which condition is the more severe form of preeclampsia and includes coma or seizures?

• A. Abruptio placentae
• B. Preeclampsia
• C. Ectopic pregnancy
• D. Eclampsia

Answer: (D)

The main concept is recognizing how severe hypertension in pregnancy progresses to a dangerous condition when seizures or coma occur. Preeclampsia is high blood pressure with protein in the urine after about 20 weeks, but it does not involve seizures. If seizures or coma develop, that’s eclampsia, the most severe form of this condition, and it requires urgent stabilization and management, including seizure control and expedited delivery when appropriate. Abruptio placentae involves painful vaginal bleeding from placental separation, not seizures. Ectopic pregnancy is implantation outside the uterus, which also does not cause seizures. So, coma or seizures indicate eclampsia.