Anti-hypertensives in mild/mod Preeclampsia (was Preeclampsia Lab Package)

From: Malcolm Griffiths (Malcolm@MGRIFF22.demon.co.uk)
Sun Jun 28 03:16:31 1998


In message <199806272122.WAA01852@linux.lisse.na>, Dr Eberhard W Lisse <el@linux.lisse.na> writes >> 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.
>
>This is a very interesting thought.
>
>But I am not in a position to break with the practice mandated by our
>national referral hospital.

This sounds unusually submissive of you! Why can't yo challenge the national centre on the basis of published evidence? 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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