management
Last edited 08/2019
Assessment of women with pre-eclampsia should be performed by a healthcare professional trained in the management of hypertensive disorders of pregnancy.
The only cure for pre-eclampsia is to terminate the pregnancy and deliver the placenta despite possible risk to the foetus. Issues involved include:
- management principles - when to treat (and with what medication), when to admit to hospital, investigations and monitoring
- timing of the delivery
- control of established disease with antihypertensive and anticonvulsant therapy
- disease prevention - role of aspirin and diet (2)
All women who have had pre-eclampsia should be offered a medical review at the postnatal review (6-8 weeks after the birth)
Reference:
- NICE (June 2019). Hypertension in pregnancy - the management of hypertensive disorders during pregnancy
- BMJ. 2006 Feb 25;332(7539):463-8.
management principles - when to treat, admit to hospital and further tests and monitoring
diagnosis, staging and screening
hypertension in pregnancy (antihypertensive treatment)
anticonvulsant agents in eclampsia
postnatal investigation, monitoring and treatment (including after discharge from critical care)