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Pre Eclampsia Poster

The document outlines the criteria and management for pre-eclampsia, including blood pressure thresholds and proteinuria levels for diagnosis. It details the treatment approach for pre-eclampsia without severe features, including hospitalization, monitoring, and medication options. Additionally, it specifies the frequency of investigations and the recommendation to deliver at 37 completed weeks of gestation.

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Priyanka
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0% found this document useful (0 votes)
102 views1 page

Pre Eclampsia Poster

The document outlines the criteria and management for pre-eclampsia, including blood pressure thresholds and proteinuria levels for diagnosis. It details the treatment approach for pre-eclampsia without severe features, including hospitalization, monitoring, and medication options. Additionally, it specifies the frequency of investigations and the recommendation to deliver at 37 completed weeks of gestation.

Uploaded by

Priyanka
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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

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