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Re: treatment of mild preeclampsiaFrom: AGrunebaum (AGrunebaum@aol.com)Fri Dec 12 10:49:23 1997
In a message dated 97-12-12 12:14:57 EST, you write: << Have an 18 yo woman G1P0 found to have BP of 150/100 which didn't resolve with rest and 2+ protein at 34 weeks 3 days by 21 week US (LMP unknown first visit at 20 weeks). On admission BP's slowly improve with bed rest and run 130's/80's, LFT's WNL platlet count 150K, NST reactive, US measures fetus at 30 weeks 3 days, AFI of 10.6, EFW 1750 gms (11%). Patient covered by HMO and they called to state they will authorize only one day stay. >> This patient is on the threshhold of severe preclampsia. She should be delivered ASAP before she and her fetus deteriorate. I really don't know why the HMO is involved. If you as the MD cannot make a decision, you ought to ask yourself what you are doing ........
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