Fetal Heart Rate Tracings Associated With Eclamptic Seizures

( Am J Obstet Gynecol . 2022;227:622.e1–622.e6) Complications of eclamptic seizures include postpartum hemorrhage, placental abruption, stroke, pulmonary edema from heart failure, aspiration pneumonia, preterm delivery, stillbirth, and neonatal death. Though first published in 1974, the relationship between fetal heart rate decelerations and eclampsia has not characterized the timing, duration, and frequency of these changes. This study aimed to describe and characterize fetal heart rate changes following eclampsia and determine obstetric management following seizures.