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Table 7 Criteria for expedited delivery and conservative management in patients with severe preeclampsia Please also refer to Figure 6.

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

EXPEDITED DELIVERY

Maternal clinical data:

Foetal clinical data:

Cardiovascular: Uncontrolled hypertension DBP > 110 mm Hg, retinal haemorrhage or retinal detachment

Renal: compromised renal function such as Oliguria, increase in serum creatinine (> 2 mg/dl) or decrease in creatinine clearance, Proteinuria > 3 g/24 hrs

CNS: convulsions, coma, amaurosis or visual changes, drowsiness

Blood work: Platelet count < 100,000 mm3

Liver: AST or ALT > 2 times upper limit of normal values and epigastric pain or pain in RUQ, data of hepatic insufficiency

Retardation in intrauterine growth measured by ultrasonography with evidence of foetal distress

Oligohydramnios (amniotic fluid index < 2)

Biophysical profile < 6

Abruptio placentae

Absent or reversed diastolic umbilical blood flow on Doppler

CONSERVATIVE MANAGEMENT IS CONTROVERSIAL

Some suggested criteria include:

Maternal clinical data:

Foetal clinical data:

Cardiovascular: Controlled hypertension (< 110 mm Hg)

Renal: Proteinuria < 3

CNS: Absence of clinical data

Blood test: platelet count > 100,000 Hemodynamically and clinically stable

No retardation in intrauterine growth

BPP > 6

No evidence of foetal maturity