eclamptic woman today

today the first thing when i walked into the prepartum room, there was a woman having convulsions (eclampsia). a 4th timer. i got marthonie quickly and she administered 2g mag sulfate; she had already been on mag; her blood pressure at its highest had been 170/120, and she had been there since the previous night. she then delivered a stillborn baby, about 35 weeks gestation, and then seized again, and then, was unconscious the whole rest of the day, until i left at 4pm. there is so much eclampsia here. peoples' health is so borderline. everyone has high blood pressure, is undernourished, and chronically dehydrated. i stayed through the lunch break, basically holding vigil with her family, and doing rounds on her. the urine in her foley catheter was wine red. kidney failure? her family sang over her, prayed over her...
i didn't want to leave their side today when i came home...i think she is going to die tonight, because her state didn't improve at all today...she never regained consciousness...her eyes were jaundiced also, and her pupils unreactive...her lungs sounded a little congested...not alot, but definetly a little...
this was day one for the american midwife volunteer for this week...welcome to st therese hospital...
i was once again impressed by marthonie's competance in managing eclampsia...
maybe tomorrow morning there will be good news...maybe whe will have come out of it...but i feel like that's not likely...