Never ignore a pregnant woman’s blood pressure.

Introduction

  • Pre-Eclampsia
    • Pathophysiology unknown
    • Pregnancy induced multi-organ dysfunction
    • Definition
      • Pregnancy
        • PLUS
      • BP 135/85
        • PLUS
      • Proteinuria
  • Eclampsia
    • Preeclampsia
    • PLUS
    • Seizures
  • HELLP Syndrome
    • Preeclampsia
    • PLUS
    • Hemolysis
    • PLUS
    • Elevated liver enzymes
    • PLUS
    • Low platelets

Step 1: Evaluate For Four Big Symptoms

  • Swelling/edema
  • Headache
  • Visual changes
  • Abdominal pain

Step 2: Testing

  • Urinalysis
    • Proteinuria
  • CBC
    • Hemolysis
    • Thrombocytopenia
  • Electrolytes
  • Liver function tests

Step 3: Start Magnesium

  • Hypomagnesemia = Hyporeflexia

Step 4: Control the Blood Pressure

  • Hydralazine
  • Labetalol

Step 5: Admit

  • OB emergency
  • All patients need fetal monitoring

Additional Reading