Pre-eclampsia

Question 1

Define pre-eclampsia

Answer 1

Pre-eclampsia (= new HTN with proteinuria occurring after 20 weeks gestation)

Question 2

Measures at each antenatal appt?

Answer 2

Measure BP and test urine for proteinuria at each antenatal appointment

Question 3

Define moderate vs severe pre-eclampsia?

Answer 3

Moderate pre-eclampsia 140/90 to 159/109mmHg

Severe pre-eclampsia >160/110

Question 4

Indications for admission in pre-eclampsia (5) ?

Answer 4

1. Severe hypertension (BP >160/110mmHg)
2. Symptoms of severe late-stage disease (headache, visual disturbance,
   epigastric pain, hyperreflexia, impending pulmonary oedema)
3. Biochemical abnormalities (deranged LFTs, abnormal U&Es)
4. Haematological abnormalities (low platelets, DIC)
5. Suspected foetal compromise

Question 5

How often should BP be measured in moderate pre-eclampsia as an outpatient?

Answer 5

every 2 days

Question 6

How often should BP be measured in moderate pre-eclampsia as an inpatient (not in labour)?

Answer 6

4 times a day

Question 7

Blood tests required in pre-eclampsia?

Answer 7

FBC, LFTs and renal function

Question 8

How often should bloods be measured for moderate pre-eclampsia?

Answer 8

Twice a week

Question 9

Which medication for induction of labour is contraindicated in pre-eclampsia?

Answer 9

Ergometrine