Pre-eclampsia
Mild Pre-eclampsia Criteria SBP ≥ 140 to < 160, DBP ≥ 90 to < 110 (two readings, 4 hours apart) Significant proteinuria (≥ 300mg in 24 hrs) No evidence of organ dysfunction Management Admission Quantification of Proteinuria (24 hrs urinary total protein) Monitoring of Maternal Condition BP - 4 times a day CBC, S. creatinine, S. electrolytes, ALT, S. bilirubin - twice a week Examination of the retina Monitoring of the Fetal Condition Kick count - daily USG to determine fetal growth - every 3 weeks Control of BP BP < 150/100 - no antihypertensive BP ≥ 150/100 - oral labetalol 100 mg BD/TDS Deliver if At term Signs of fetal growth restriction Worsening fetal or maternal condition Labor or rupture of membranes Severe Pre-eclampsia Criteria SBP ≥ 160, DBP ≥ 110 (two separate readings, 4 hours apart) Significant proteinuria (≥ 300 mg in 24 hours) or any evidence of organ dysfunction, e.g., low platelet count, elevated liver enzymes, pulmonary edema, creatinine ≥ 1.1 mg/dl, headache, blurring of vision. Management Admission If ≥ 34 weeks or < 34 weeks with complications Deliver after stabilization of maternal condition. ...