Table 5.

Hospital management of clinically unstable mild preeclampsia at the secondary level of care Please also refer to Figure 5.

Mother			Foetus
Monitoring: The patient must be hospitalised.
Clinical	Exams as often as needed		Clinical	Exams as often as needed
Blood pressure Weight Look for CNS, renal, cardiovascular or gastrointestinal symptoms at every visit	Blood count (including platelet count) Urinalysis (proteinuria) every 24 hours or Dipstick every eight hours Liver Function Tests (Bilirrubin, AST, ALT)		Foetal movements Foetal cardiac rate	Cardiotocography: No-stress testing Ultrasonography to measure foetal growth and status of the placenta (site where the placenta is inserted and maturity) and amniotic fluid volume
Treatment			Treatment
Bed rest	Anti-hypertensives (controversial) Methyldopa Nifedipine Hydralazine	Anticonvulsants: Magnesium sulphate	Induction of pulmonary maturity using dexamethasone or betamethasone in patients with gestational age less than 34 weeks.