Dr Dimari's Medical Sciences Thread - Read the first post

[Munkers]

Dr Dimari

Gigabyte

I also though pre-eclampsia was like one of the more straight forward ones. =o
Whats so hard about it?

Nah, its a real crap complication to suffer in pregnancy. Its all to do with a high blood pressure, protein excreted in the urine ... and it can cause neurological and liver damage as well as kidney damage. It can serious harm mum, and even kill her. We don't know what really causes it, there are some theories associated with poor placental perfusion and autoimmunity. The matter is that its really hard to treat: the only cure is delivering the baby.

So its like, what do you do with a woman who is 28 wks gestation: do you induce her or wait and see and try and control her symptoms?

Mag sulfate (aka liquid lava), Betamethasone (if not contraindicated) for the baby's lungs, and hope she doesn't seize.

At 28 weeks, I'd try to control her symptoms since every day in utero at this point has a HUGE impact on the baby's ICU stay, but if it progresses to full-on eclampsia, a c-section might be your only option.

[Dr Dimari]

Munkers

Dr Dimari

Gigabyte

I also though pre-eclampsia was like one of the more straight forward ones. =o
Whats so hard about it?

Nah, its a real crap complication to suffer in pregnancy. Its all to do with a high blood pressure, protein excreted in the urine ... and it can cause neurological and liver damage as well as kidney damage. It can serious harm mum, and even kill her. We don't know what really causes it, there are some theories associated with poor placental perfusion and autoimmunity. The matter is that its really hard to treat: the only cure is delivering the baby.

So its like, what do you do with a woman who is 28 wks gestation: do you induce her or wait and see and try and control her symptoms?

Mag sulfate (aka liquid lava), Betamethasone (if not contraindicated) for the baby's lungs, and hope she doesn't seize.

At 28 weeks, I'd try to control her symptoms since every day in utero at this point has a HUGE impact on the baby's ICU stay, but if it progresses to full-on eclampsia, a c-section might be your only option.

That is a definitely reasonable plan you would use, with regular scanning of baby.

I am used to using Dexa as abosed to Beta - but its all good. You'd also want to give surfactant too.

And I have had a 31 week pregnant woman which we decided to do a section on when I detected her issues in clinic and monitored her. She had twins: it was a complicated delivery ^^;