Eclampsia despite strict dietary sodium restriction

F M Delemarre1, E A Steegers, J N Berendes

  • 1Department of Obstetrics and Gynaecology, Catharina Hospital Eindhoven, The Netherlands. f.delemarre@obgyn.azn.nl

The classic indication for prescribing dietary sodium restriction in pregnancy has been the prevention of eclampsia. We describe a case of intrapartum eclampsia in a 24-year-old nulliparous woman. A strongly sodium restricted diet was prescribed because of pre-eclampsia. Compliance to the diet was checked with 24-hour urinary sodium excretion. This report, describing the first case of eclampsia despite neglectable urinary sodium excretion, adds to the view that sodium restriction in pregnancy is obsolete.

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