30 year old primi with 36 weeks of pregnancy with blood pressure 160/110 and urinary albumin is 3+ & platelet count 80000/mm3. What will be the management?
Answer is b and c That is MgSO4 and Labetalol Patient has severe pre-eclampsia and gestational age is 36 weeks : If gestational age is above 34 weeks, the best approach is to treat with magnesium sulphate for the prevention of seizures.,give antihypeensive to control the BP and delivery after stabilization. Ref Fernando Arias 4 /e p 210 Betamethasone to hasten lung maturity is not required at 36 weeks as lungs are already mature by this time Ref.. Williams obs 23/e p729
Betamethasone
MgSO4
Labetalol
Urgent LSCS
Medical, surgical and gynaecological illness complicating pregnancy