Page 1 of 3: Q: Preeclampsia management

determine · Credits: 3564 My Scrapbook

A 30-year-old primigravida presents at 34 weeks gestational age with blood pressure of 160/90 mmHg, headache, epigastric pain, visual abnormalities and 3 proteinuria. Biophysical profile of the fetus is 8/8. Which one of the following is the best course of action?

1) Induce labour and attempt vaginal delivery.

2) Start magnesium sulfate intravenously.

3) Perform an emergency C-section.

4) Give betaclomethasone to induce fetal lung maturity.

5) Perform an amniocentesis to assess fetal lung maturity.

1 or 2 ? I think we should induce labour but before that we should start Mg. So which one is the best course of action? "best course of action" means what is the best initial step or what is the best cure? ohh I'm stucked:(

parin · Credits: 14470 My Scrapbook My Reading List 1 Books

b should be the answer....

parin · Credits: 14470 My Scrapbook My Reading List 1 Books

b should be the answer....

drvikrambhojak · Credits: 136 My Scrapbook

Doctor-do-little · Credits: 257 My Scrapbook

The diagnosis is pre-ecclampsia which is likely to
progress to ecclampsia (severe symptoms
-visual disturbances,epigastric pain etc)
Emergency C-section would be the best course of management.
(Similar question in Salgunan -Answer given was
Anticonvulsant therapy.Doc says C-section)

Further discussion is welcomed.

Ahla · Credits: 422 My Scrapbook

well ;it is clear that at this stage maternal wellbeing is more importanytthan fetal so I think CS will solve the problem b. it will not be controlled if the fetus still in utero.

cutypie · Credits: 447 My Scrapbook

hi , what r prerequisite for giving MgSO4 regimein pet and eccl.?urgent reply.pls.tell in detail.

nazia_k · Credits: 2890 My Scrapbook

in case of preeclampsia at 34 weeks answer is before that we stablise the patient and deliever
in this case baby is fine so far but mother is having s/s of impending eclampsia
i will go for magnisium sulphate first-B

nazia_k · Credits: 2890 My Scrapbook

n case of preeclampsia at 34 weeks answer is
stablise the patient and deliever
in this case baby is fine so far but mother is having s/s of impending eclampsia
i will go for magnisium sulphate first-B followed by delievery by c/s as in preeclampsia + preterm its best mode of delivery

Ahla · Credits: 422 My Scrapbook

DO U MEAN BEST MANAGEMENT OR FIRST MANAGEMENT???????????????

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