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Re: OB: Pre-eclampsia caseFrom: Dr. P. Peterman (peterman@proteus.com)Wed Feb 4 07:16:59 1998
At Wed, 4 Feb 1998, rbraun@iupui.edu wrote: > >I take it she is 38 weeks? >If she doesn't have pre-eclampsia, she probably will soon. > Notwithstanding our poor understanding about the exact etiology of pre-eclampsia, it is a disease that women most likely get either at fertilization or at implantation (vis-a-vis a poorly defined immunological process). It's not until later in pregnancy that the disease screams at the clinician loud enough for them to make the diagnosis. Either she has the disease now, or she doesn't. There is no "soon" about it. I agree with Dr.Braun's excellent management plan. I would use misoprostol for induction. Additionally, if this is not p.e., and only chronic hypertension with a measure of renal failure: the management would be the same. She is term, so induce her labor. Continued gestation is of no benefit to either mom or the fetus. P.Peterman.
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