Re: Preeclampsia Lab Package

From: Malcolm Griffiths (Malcolm@MGRIFF22.demon.co.uk)
Sat Jun 27 16:14:51 1998


In message <199806271541.QAA01943@linux.lisse.na>, Dr Eberhard W Lisse <el@linux.lisse.na> writes >
>So if I get a patient with a mild hypertension and all lab work normal
>I will try to lower her pressure and monitor her.

Why are you lowering the blood pressure of a woman with mild (or even moderate) hypertension? There is no benefit.

In your setting, where lab tests are limited I would have thought it even more important not to needlessly reduce BP. If you pharmacologically lower BP, you lose one of your main indicators of disease severity and are left with lab tests to monitor progression. Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997])





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