Table 6.

Hospital antepartum management of a patient with severe preeclampsia Intensive Care Unit. For stable patients under 34 weeks of gestation. Please also refer to Figure 6.

Mother			Foetus
Monitoring
Clinical	Exams		Clinical	Exams
Blood pressure Weight Look for CNS, renal, cardiovascular or gastrointestinal symptoms at every visit	Blood count (including platelet count) Serum creatinine Urinalysis (proteinuria) every 24 hours Dipstick every eight hours Liver Function Tests (Bilirrubin, AST, ALT)		Foetal movements Foetal cardiac rate	Cardiotocography No-stress testing Ultrasound: Evaluate foetal growth, site where the placenta is inserted, and its maturity Biophysical profile Amniotic fluid assessment Amniocentesis (selected cases)
Treatment			Treatment
Bed rest	Anti-hypertensives (controversial) Methyldopa Nifedipine Hydralazine	Anticonvulsants: Magnesium sulphate?	Induction of pulmonary maturity (patients with gestational age less than 34 weeks) Dexamethasone Betamethasone