D

The immediate priority during an eclamptic seizure is basic resuscitation—clear and protect the airway, ensure breathing and circulation—before giving anticonvulsants or proceeding to delivery. Guidelines emphasize ABC stabilization first, noting that airway management is critical to prevent hypoxia and aspiration during convulsions [Katsi, 2024, PMID 39330315; Laskowska, 2023, PMID 37415326].