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Review ofLiterature
Management of pregnancy induced hypertension
The most effective therapy for preeclampsia is delivery ofthe fetus and
placenta in pregnancy at or near term in which the cervix is favorable
labor should be induced in addition intravenous (IV) magnesieum sulfate
(MgS04) should be used both during labor and postpartum to reduce the
risk of convulsions. Disease severity and gestational age usually govern
the decision to intervene and deliver a pareterm infant. (Abramovici and
Sibai 1999).
Mild Preeclampsia:
All patients with mild preeclampsia should receive maternal and fetal
evaluation at the time of their diagnosis .. Maternal evaluation includes
measurements of blood pressure, weight, and urine protein, and
questioning about symptoms of headache, visual disturbances and
epigastric pain. Fetal evaluation should include ultrasonography to
determine fetal growth and amniotic fluid volume, daily fetal movement
count and nonsterss testing (or biophysical profile) at least once weekly
(fig 1) (Abramovici and Sibai 1999).
Laboratory evaluation includes determination of hematocrit,
platelet counts every 2 days, and liver enzyme levels twice weekly. This
evaluation is important since patients may develop thrombyctopenia and
abnormal
elevation.
liver enzyme levels, even with minimal blood pressure
Patients are instructed to receive a regular diet with no salt restriction and
no restricted activity. Diuretics, antihypertensive drugs, and sedatives are
not used .(Sibai , 1992).
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