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Re: nephrosis in pregnancyFrom: Ronald E. Ainsworth (ainsron@msn.com)Fri May 21 10:44:49 1999
At Fri, 21 May 1999, Piela wrote: > >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 has chronic hypertension with superimposed toxemia, by definition the amount of proteinuria she has makes it severe toxemia. She needs hospitalization, MgSo4, BP control and delivery by the most expeditious means possible. You can try induction if the cervical is ripe enough or if you are a gambler, but if no response within a short period of time, 8-12 hours, C/S. If you're not in a tertiary care center with ventilator support, transfer her.
-- Ronald E. Ainsworth, MD, FACOG Paradise, CA, Private Practice 20 yrs.
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