Question

A 34-year-old woman at 36 weeks gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria, severe headache and visual disturbances. Platelets are 85 × 10⁹/L and liver enzymes are elevated. According to SOGC guidelines, what is the most appropriate management?

Accepted Answer

Immediate delivery after maternal stabilisation and seizure prophylaxis

Answer

Outpatient monitoring with oral labetalol until 40 weeks

Answer

Delay delivery until 39 weeks to allow fetal lung maturity

Answer

Magnesium sulfate is unnecessary because she has not seized

Answer

Treat with ACE inhibitors to control blood pressure

Practice question

A 34-year-old woman at 36 weeks gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria, severe headache and visual disturbances. Platelets are 85 × 10⁹/L and liver enzymes are elevated. According to SOGC guidelines, what is the most appropriate management?