protocol

1. PROTOCOLFORTHEMANAGEMENTOFECLAMPSIA&PREECLAMPSIA
SUSPECT:- . BP 140/90 mmHg or greater . The woman is found in convulsion or found unconscious
-Diastolic BP 90-110 mmHg -Diastolic BP is greater than 110 - Diastolic BP> or =90 mmHg
ASSESS:- - proteinuria++ mmHg - Protein ++ or more
- No convulsion - Protein +++ or more - Convulsion/ coma
- Reduced urine output
TYPES:-
MILD TO MODERATE PRE- SEVERE PRE-ECLAMPSIA ECLAMPSIA
ECLAMPSIA
TREAT:- - Advice rest & normal diet -Plan to deliver within 24 hours -Delivery must occur within 12 hours
- No salt restriction -There is no place for expectant care in of convulsion
- Monitor BP & Proteinuria severe pre-eclampsia -Maintain airway, give 02 at 4-6 liter/min
- Do not give sedatives, tranquilizers, - Reduce BP and prevent conclusion -Protect from injury and place on her side
anti convulsion or diuretic with magnesium sulfate as for -Suction after convulsion
-Prescribe methyl dopa if diastolic Eclampsia -If diastolic BP>100 mmHg give anti
BP >100 mmHg and - Watch for HELLP syndrome if hypertensives
-Lower it to between 90&100mmHg detected refer to tertiary centre -Do not reduce diastolic BP<90mmHg
-Monitor fetal growth by symphysis -Start IV (RL) 60-80ml/hour
fundal height measurement -Catheterize the bladder and monitor urine
-Plan delivery at term or earlier if output & Proteinuria
1. Proteinis worsen -If urine output is <30ml/hr,withhold Mg
2. There is significant IUGR So4 & infue NS or RL.
BP control is unsatisfactory -Observe vital signs, reflexes, FHS hourly
-Watch for HELLP syndrome.
-If cervix is favorable normal labor, if not CS