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Table 5 Hospital management of clinically unstable mild preeclampsia at the secondary level of care Please also refer to Figure 5.

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

Mother Foetus
Monitoring: The patient must be hospitalised.
Clinical Exams as often as needed Clinical Exams as often as needed
Blood pressure Weight Look for CNS, renal, cardiovascular or gastrointestinal symptoms at every visit Blood count (including platelet count)
Urinalysis (proteinuria) every 24 hours or Dipstick every eight hours
Liver Function Tests (Bilirrubin, AST, ALT)
Foetal movements
Foetal cardiac rate
Cardiotocography: No-stress testing
Ultrasonography to measure foetal growth and status of the placenta (site where the placenta is inserted and maturity) and amniotic fluid volume
Treatment Treatment
Bed rest Anti-hypertensives (controversial)
Methyldopa
Nifedipine
Hydralazine
Anticonvulsants: Magnesium sulphate Induction of pulmonary maturity using dexamethasone or betamethasone in patients with gestational age less than 34 weeks.