35 week multigravida presenting with epigastric pain, headache, visual symptoms, proteinuria 3+. What is the first step/next of management?
Severe hypeension / preeclamptic toxemia (imminent eclampsia) is- - Hypeension with :- Headache Visual symptoms Epigastric pain Proteinuria > 300 mg/ 24 hr. urine Protein: creatine ratio >= 0.3 1st step of RX :- MgSo4 - IM + IV (Pritchard's regimen) This is followed by termination of pregnancy (Definitive treatment)
Immediate caesarean
Betamethasone for fetal lung maturity
Induction of labour for vaginal delivery
Sta MgSO4 therapy
Obstetrics