Management of preeclampsia patients

Abstract

The aim of the management of women with
preeclampsia is to improve maternal and perinatal
outcome. Analysis of the literature and experts’
opinion suggest criteria of pregnancy termination,
mainly in women with severe preeclampsia. Some
of these criteria are maternal: uncontrolled severe
hypertension, eclampsia, pulmonary edema,
abruption, signs of imminent eclampsia, renal
impairment, persistent epigastric pain, HELLP
syndrome, gestational age under 24 weeks’ gestation. Other are fetal: abnormal fetal heart rate
monitoring, Manning score ≤ 4, severe IUGR
diagnosed after 30 weeks’ gestation, severe oligohydramnios, reversed absent end diastolic flow
observed after 30 weeks’ gestation. In women with
mild preeclampsia, pregnancy could be terminated
after 36 weeks’ gestation.