PRE-ECLAMPSIA
SBP≥140mm Hg or Proteinuria ≥0.3 g/24-hour
Period of DBP≥90 mm Hg or both urine specimen or protein/
gestation>20 on 2 occasions, 4 hours creatinine ratio ≥0.3 (mg/mg)
weeks apart in a previously or (30 mg/mmol) in a random
normotensive patient urine specimen or dipstick ≥2+
Pre Eclampsia without severe features
• SBP≥140mm Hg or DBP≥90 mm Hg or both
• Proteinuria ≥0.3 g/24-hour urine specimen or protein/creatinine ratio ≥0.3 (mg/mg) or (30 mg/mmol) in a random urine
specimen or dipstick ≥2+
• Hospitalize, reassure, advice rest
• Start anti-hypertensive agent when SBP≥ 150mm Hg and or diastolic ≥ 100mm Hg
• Tab Labetalol 100 mg 8–12 hourly (max 2.4 gm/day)
OR
• Tab Alpha Methyldopa 250-500 mg / 6-8 hourly (max 2gm/day) (as per availability)
• Investigate — CBC with peripheral smear and platelet count, LFT, KFT and fundus exam
• BP and urine output monitoring
Frequency of Investigation
• Continue hospitalization
• Regular foetal+maternal surveillance Parameter Frequency
Hb Weekly
Platelets Weekly
LFT Weekly
KFT Weekly
• Maintain DBP If disease is
Fundus Once
90-100 mm Hg severe, manage
• No foetal as severe NST/BPP After 32 Weeks
compromise pre-eclampsia
Doppler Study 3 – 4 Weeks
BP Monitoring 4 times a day
Deliver at 37
completed
weeks
Version 2022