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Diagnosis
The USPSTF recommends regular checking of blood pressure through pregnancy in order to detect preeclampsia.

Differential diagnosis
Convulsions during pregnancy that are unrelated to pre-eclampsia need to be distinguished from eclampsia. Such disorders include seizure disorders as well as brain tumor, aneurysm of the brain, and medication- or drug-related seizures. Usually the presence of the signs of severe pre-eclampsia precede and accompany eclampsia, facilitating the diagnosis.

Investigations include: CBC, renal function test (RFT), liver function tests (LFT), coagulation screen, 24-hour urine creatinine and protein, and  fetal/placental ultrasound.

Treatment of eclampsia-related seizures with magnesium sulfate has a lower rate of recurrent seizures or maternal death than other agents.

Info on diagnosis