Department of Maternity & Pediatric Nursing

School of Nursing
Jember University
Risk Factors for Preeclampsia
Symptoms of Preeclampsia
Diagnostic Criteria for Preeclampsia
Severe Features of Preeclampsia
Management of mild gestational hypertension or preeclampsia without
severe features
Management of severe preeclampsia at less than 34 weeks of gestation
“HELLP syndrome” is an acronym for the following presentation: hemolysis, elevated liver enzymes,
and low platelet count.
Evaluation and Management of Women at Risk of
Preeclampsia Recurrence
Continue…
Antihypertensive Agents Used for Urgent Blood
Pressure Control in Pregnancy
Common Oral Antihypertensive Agents in Pregnancy
 Magnesium Sulphate Prophylaxis
• Loading dose: - Magnesium sulphate 4g
Administer via a syringe pump over 10 minutes
Use 20ml syringe.
• Maintenance dose: - Magnesium sulphate at 1g /
hour. Make 10g of MgSO4 (5 ampoules) up to
50ml with sterile water.
 Cont…
The following important observations should be
performed:

• Continuous pulse oximetry

• Hourly urine output
• Hourly respiratory rate
• Hourly deep tendon reflexes
 Cont…
• Side effects: Motor paralysis, absent tendon
reflexes, respiratory depression and Cardiac
arrhythmia (increased conduction time) can
all occur but will be at a minimum if
Magnesium is administered slowly and the
patient observed as above.
• The antidote is 10ml 10% calcium gluconate
given slowly intravenously.
Interventions that are recommended for prevention
or treatment of pre-eclampsia and eclampsia
Interventions that are not recommended for prevention or
treatment of pre-eclampsia and eclampsia