Re: nephrosis in pregnancy

From: Braun, R. Daniel (rbraun@iupui.edu)
Fri May 21 07:01:12 1999


She should probably be at bed rest in the hospital for very close observation and with consideration for early delivery. She seems to have Chronic Hypertension and may well be developing SIPE(SuperImposed Pre-Eclampsia). If she has SIPE, she does need to be delivered. Dan

> -----Original Message-----
> From: pielaand@intertele.pl [SMTP:pielaand@intertele.pl]
> Sent: Friday, May 21, 1999 12:26 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: nephrosis in pregnancy
>
> Dear friends
> I have not any idea of menagement my pregnant women in 32 weeks of
> second pregnancy and elevated arterial pressure 140/100-145/110 from the
> first trimester. But proteinuria increased from 3000/24h to 8 000 24/h.
> She had small doses of hydralazine only and all tests of renal function
> are normal.The protein blood level is 6.3g. What should I do with her?
> Should she have preventing PIH aspirin therapy?
> Should she heve albumin infusion?
> Piela A MD
>
> --
> Andrzej Piela
> Rzeszow
> Zimowita 2/1
> Poland





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