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OB: Severe Pre-eclampsiaFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Wed Oct 5 17:15:24 2005
36 YO P1001 admitted at 34w2d with 150/90, 2+ protein, no symptoms, normal SGOT, platelets, and creatinine of 0.7. 24 hour protein 2.6 grams while in house. Next 24 hour urine begun. Our MFMs generally say don't deliver for severe disease if only for proteinuria, but generally that seems to be for the under 32-weekers. Usually, by the time they are severe by proteinuria, something else declares itself such that delivery is necessary. The next urine came back at 34w6d at 6.2 grams; other labs normal. Her cervix is long/closed, and she's delivered vaginally before at term without PIH. The MFM scan is normal with normal dopplers, 8/8 BPP and OK growth. What would you do? If you choose to induce, would you use Magnesium Sulfate? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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