Skip to main content

Table 6 Hospital antepartum management of a patient with severe preeclampsia Intensive Care Unit. For stable patients under 34 weeks of gestation. Please also refer to Figure 6.

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

Mother Foetus
Monitoring
Clinical Exams Clinical Exams
Blood pressure Weight Look for CNS, renal, cardiovascular or gastrointestinal symptoms at every visit Blood count (including platelet count)
Serum creatinine
Urinalysis (proteinuria) every 24 hours
Dipstick every eight hours
Liver Function Tests (Bilirrubin, AST, ALT)
Foetal movements
Foetal cardiac rate
Cardiotocography No-stress testing
Ultrasound: Evaluate foetal growth, site where the placenta is inserted, and its maturity Biophysical profile Amniotic fluid assessment Amniocentesis (selected cases)
Treatment Treatment
Bed rest Anti-hypertensives (controversial)
Methyldopa
Nifedipine
Hydralazine
Anticonvulsants: Magnesium sulphate? Induction of pulmonary maturity (patients with gestational age less than 34 weeks)
Dexamethasone
Betamethasone