Pathophysiology Serious Complications e Cerebral haemorrhage e Visual disturbances blindness 中 Hepatic rupture +Electrolytic imbalance @ G pOstpartum collapse Ceded
Pathophysiology Serious Complications: Cerebral haemorrhage Visual disturbances & blindness Hepatic rupture Electrolytic imbalance Postpartum collapse
Differential Diagnosis Chronic hypertension essential /renal others Mostly obese, elderly, parous likely to be on antihypertensive drugs Usually preexists /appears early (< 20wks persists postpartum +End organ damage maybe press ⊙ Ceded
Differential Diagnosis Chronic hypertension essential / renal / others Mostly obese, elderly, parous & likely to be on antihypertensive drugs Usually preexists / appears early (<20wks) & persists postpartum End organ damage maybe present
人 Differential Diagnosis Diagnostic confusion 10 of 24(42%)women initially thought to have had eclampsia were later found to have had other cerebro-vascular pathology ypertensive ence ephalopathy, cerebral a hemorrhage, or cerebral infarction Suspected eclampsia, unresponsive to Mgso4 therapy warrants a prompt neyrgimagi stud < Am J Obstet Gynecol. 1997: 176: 11391148o Ceded
Differential Diagnosis Diagnostic confusion: 10 of 24(42%) women initially thought to have had eclampsia were later found to have had other cerebro-vascular pathologyhypertensive encephalopathy, cerebral hemorrhage, or cerebral infarction. Suspected eclampsia, unresponsive to Mgso4 therapy warrants a prompt neuroimaging study. Am J Obstet Gynecol. 1997;176:1139-1148
OBJECTIVES OF MANAGEMENT Cure /prevent progression xClose monitoring +Reduce blood pressure -target- 140/90mmh +Promote foetal maturity 8+prolong pregnancy(34-36 weeks) x To achieve foetal maturity termination +Delivery- best day best way best(P@e O F+Prevent/manage complications Ceded
Cure / prevent progression - Close monitoring Reduce blood pressure -tatrget- 140/90mmHg Promote foetal maturity Prolong pregnancy (34 - 36 weeks) To achieve foetal maturity termination Delivery- best day, best way & best place Prevent / manage complications OBJECTIVES OF MANAGEMENT