36 week a pregnant female, a case of pre-eclampsia, presented with blurred vision and headache. Her blood pressure is 160/110 mmHg. Next step in management is:
Termination of pregnancy is the only cure for pre-eclampsia. Headache, visual disturbances, or epigastric pain is indicative that convulsions may be imminent, and oliguria is another ominous sign. Severe preeclampsia demands anticonvulsant and usually antihypeensive therapy followed by delivery. Ref: Cunningham F.G., Leveno K.J., Bloom S.L., Hauth J.C., Rouse D.J., Spong C.Y. (2010). Chapter 34. Pregnancy Hypeension. In F.G. Cunningham, K.J. Leveno, S.L. Bloom, J.C. Hauth, D.J. Rouse, C.Y. Spong (Eds), Williams Obstetrics, 23e.
Admit & give antihypeensives, MgSO4 and terminate
Admit & give antihypeensives, MgSO4 and observation
Only admit & watch the patient
Give antihypeensives and send home