A 24-year-old woman with 36 weeks of pregnancy, suddenly complains of headache and blurring of vision. Her B.P. is 170/110 mm of Hg. Urinary albumin is +++ and fundus examination shows areas of retinal hemorrhage. The line of fuher management would be:
It is a case of preeclampsia expectant management The aim of expectant management is to protect fetus from consequence of disease and at same time prolong pregnancy if possible to avoid dangers to fetus of prematurity.It aims at increasing bih weight and gestational age at delivery and reducing neonatal complications.Expectant management is not beneficial to mother and hence requires specialised care in the teiary centre with close monitering.At any time when there is a worsening in the condition expectant management is abandoned and immediate termination decided.The indications for abandoning it are uncontrolled maternal hypeension,increasing organ dysfunction,fetal distress TEXTBOOK OF OBSTETRICS BY SHEILA BALAKRISHNAN.,Pg no:263,2nd edition
Conservative treatment
Anticonvulsive therapy
Induction of labour
Cesarean delivery
Medical, surgical and gynaecological illness complicating pregnancy