Pre-eclampsia counselling

Question 1

RFs

Answer 1

nulliparous, multiple pregnancy
FHs/Hx pre-eclampsia
pre-preg high BP
DM, SLE, kidney disease, obesity

Question 2

mx

Answer 2

Only complete cure is delivery. After the birth, symptoms usually settle.

Induced labour if late in the pregnancy. C- section if necessary. Need to balance risks

Magnesium sulphate halves risk of pre-eclampsia -> eclampsia. Given around delivery.

Antihypertensives. Rest, although poor evidence. Hospital admission for observation

Question 3

will it happen in my next pregnancy

Answer 3

1 in 10

Question 4

think of complications in this frame

Answer 4

mother

baby