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  • Management of Pre Eclampsia
    In women with severe preeclampsia remote from term, the decision to continue pregnancy beyond that interval required for the administration of corticosteroids depends upon daily maternal and fetal assessment with continual review of the ongoing risks of conservative management versus the benefit of further fetal maturation. Such women should be cared for in a hospitalized setting and by, or in consultation with, a maternal-fetal medicine specialist.
  • Hypertensive Disorders in Pregnancy
    Preeclampsia superimposed upon chronic hypertension — Superimposed preeclampsia is diagnosed when a woman with preexisting hypertension develops new onset proteinuria after 20 weeks of gestation. Women with both preexisting hypertension and proteinuria are considered preeclamptic if there is an exacerbation of blood pressure to the severe range (systolic 160 mmHg or diastolic 110 mmHg) in the last half of pregnancy, especially if accompanied by symptoms or increased liver enzymes or thrombocytopenia.
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