[Pregnancy termination in convulsive eclampsia using a "prostaglandin-cap"].

Five cases of eclampsia are reported where, since the cervix was immature, pregnancy was terminated with local application of prostaglandin E2 by means of a portio-adapter. Induction-delivery time was short in each instance; in only one patient mild side effects common to prostaglandins were observed. In all five patients operative delivery could be avoided. Shortly after expulsion of the fetus all patients were symptom-free, all post partum courses were uneventful. Three fetuses were already dead before induction of labour, the remaining two weighing 850 g and 1000 g died of respiratory distress syndrome on post partum day five and nine. Local application of PGE2 by means of a portio-adapter can be considered a serious improvement in the therapy of convulsive eclampsia.