PreEclampsia Management
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Basic management objectives
Termination of pregnancy with the least possible trauma to mother and fetus
Birth of an infant who subsequently thrives
Complete restoration of health to the mother
A systematic evaluation
Detailed examination
Weight on admittance and every day thereafter
Analysis for proteinuria at least every 2 days thereafter
Blood pressure readings in sitting position with anappropriated-size cuff every 4 hours, except betweenmidnight and morning
Measurements of plasma or seru creatinine,hematocrit, platelets, and serum liver enzymes
Frequent evaluation of fetal size and amnionic fluid volume.
Severe PreEclampsia
The goals of management are:
Prevention of convulsions
Control of maternal blood pressure
Initiation of delivery
Mild Preeclampsia
Treatment Of Mother
Assessment of Fetal Status
6 principles
Spasmolysis…
conscious-sedation …
Depressurization…
fluid expansion…
Diuresis…
pregnancy termination
Eclampsia
Control of Seizures
Controln of Hypertension
Hydralazine
Labetalol
Nifedipine
Sodium nitroprusside