Table 1 Standards of care for severe pre-eclampsia, eclampsia and PPH
Standards of care for severe pre-eclampsia/eclampsia | Standards of care for PPH |
|---|---|
1. Patients should be seen by a doctor within 1 h (h) of arrival. | 1. AMTSL should have been done before PPH is diagnosed |
2. Anti-hypertensive therapy should be started within 20 min (min) of diagnosis. | 2. IV oxytocin should be given as soon as possible when PPH is diagnosed |
3. Urine protein dipstick test should be done within 30 min | 3. IV isotonic crystalloid fluids should be given as initial fluid resuscitation when PPH is diagnosed |
4. BP should be monitored every 30–60 min when the diastolic BP is ≥110 mm Hg. | 4. In case bleeding does not respond to oxytocin, IV ergometrine or misoprostol should be given when PPH is diagnosed |
5. The fetal heart rate (FHR) should be monitored every 30 min when the diastolic BP is ≥110 mm Hg. |  |
6. Magnesium sulfate should be administered within 20 min. of diagnosis | |
7. A FBC RFT and LFT should be done within 24 h | |
8. Steroid therapy should be given in all pregnancies where the pregnancy is estimated to be 28–34 weeks gestation. | |
9. Deep tendon reflexes test and respiratory rate monitoring should be done for 24 h | |
10. Caesarean section (CS) should be done in 1h from when decision is made |