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Subarachnoid hemorrhage after deliveryFrom: J J Walker (msjjjw@gps.leeds.ac.uk)Sun Dec 10 15:11:30 1995
>We have a 32 yr G2P1 who was sectioned for a mild pre-eclampsia and twins 6 days ago. On the second day after delivery we had difficulty in controling her bloodpressure and she complained of severe headache, initially thought to be of high doses nifedipine. What is "mild" preeclampsia. My understanding is that in the USA this can mean a diastolic up to 110 diastolic phase five. It is my practice to start antihypertensive drugs at a level of 100 diastolic phase four. (around 95 phase five)
This has been shown to reduce the chance of hypertensive crisis and the associated morbidity.
>An Angiogram of This is classic preeclampsia angiogram findings.
>>She was placed on bedrest. Bed rest has no place in the management of preeclampsia, either they need treated or they can go home. Jimmy Professor James Walker, Chairman, Dept of OB/GYN St James University Hospital Leeds, UK Tel 0113 283 6864, Fax 0113 234 3450 msjjjw@leeds.ac.uk
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