Question

A 28 year old G2P1 woman at 30 weeks gestation presents with persistent headache, visual disturbances and right upper quadrant discomfort. Blood pressure is 160/104 mm Hg on two measurements and urinalysis shows 3+ protein. Platelets are 110 g/L and AST is mildly elevated. What is the most appropriate management?

Accepted Answer

Admit for management of severe pre eclampsia and consider expedited delivery after maternal stabilisation

Answer

Reassure and manage as gestational hypertension with outpatient follow up

Answer

Start oral labetalol and plan delivery at 40 weeks

Answer

Start aspirin alone and discharge

Answer

Advise bed rest at home only

Practice question