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Table 4 Ambulatory management of clinically stable preeclampsia at secondary level of care Please also refer to Figures 3, 4, and 5.

From: Critical pathways for the management of preeclampsia and severe preeclampsia in institutionalised health care settings

Mother Foetus
Monitoring: The patient must be seen every third day until admission for delivery.
Clinical Exams (weekly) Clinical Exams
Blood pressure Weight Look for CNS, renal, cardiovascular or gastrointestinal symptoms at every visit Blood count (including platelet count)
Urinalysis (proteinuria) every third day or Dipstick Liver Function Tests (Bilirrubin, AST, ALT)
Foetal movements
Foetal cardiac rate
Cardiotocography: No-stress testing (every 5 to 7 days)
Ultrasonography (measure foetal growth, maturity and placental location and amniotic fluid index)
Treatment Treatment
Bed rest at home Anti-hypertensives (controversial)
Methyldopa
Nifedipine
Hydralazine
Induction of pulmonary maturity using dexamethasone or betamethasone in patients with gestational age less than 34 weeks.