Flashcards in Hypertension and Pre-Eclampsia Deck (11):
After what gestation date does gestational hypertension occur?
Post 20 weeks
What is the grading of gestational hypertesnion?
Mild: 140-149/90-99 mmHg
Moderate: 150-259/100-109 mmHg
What is the management of mild gestational hypertension?
Regular BP monitoring (twice weekly) and check urine for protein at each visit. Counsel patient on signs of pre-eclampsia.
What is management of moderate gestational hypertension?
Labetalol + regular monitoring.
What is the management of severe gestational hypertension?
Admit + labetalol + regular monitoring.
What are the potential complications of gestational hypertension?
Pre-eclampsia, eclampsia, placental abruption, impaired foetal growth, premature birth.
What are the features of pre-eclampsia?
Hypertension (>140/90) and proteinuria).
+/- oedema, headache, visual disturbance, epigastric pain, vomiting, low platelets, raised LFTs
What are the features of HELLP?
Haemolysis, elevated liver enzymes, low platelets.
What is the management for all women with pre-eclampsia?
ADMIT. Frequent bloods, urine collection, foetal monitoring.
Labetalol if BP >150/100
What is the protocol for delivery in pre-eclampsia?
<34 weeks: give steroids, then reassess after 24 hours.
>34 weeks: delivery
If unstable, deliver ASAP at any age.