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Pre- Eclampsia (Risks (40 + y.o, BMI >35, first preg, multiple…
Pre- Eclampsia
Risks
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multiple pregnancy, twins etc
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Management
Conservative
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Antihypertensive (130-140, 90-100)
Labetalol (BetaB), Nifedipine (CCB), hydralazine (IV- centrally acting) , Methyldopa?
magnesium sulphate (CCB) Tx and prevention of eclampsia ( 4/5g slow IV infusion) 1g/hr as maintenance dose . delivery time.
Delivery
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corticosteroids - dexamethasone ( 12mg 24H apart - 2 in total) -Lungs, surfactant , pneumocytes (II)
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3rd trimester, labour, upto 6 wks post partum
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