Table 1.

Standards of care for severe pre-eclampsia, eclampsia and PPH

Standards of care for severe pre-eclampsia/eclampsia	Standards of care for PPH
1. Patients should be seen by a doctor within 1 h (h) of arrival.	1. AMTSL should have been done before PPH is diagnosed
2. Anti-hypertensive therapy should be started within 20 min (min) of diagnosis.	2. IV oxytocin should be given as soon as possible when PPH is diagnosed
3. Urine protein dipstick test should be done within 30 min	3. IV isotonic crystalloid fluids should be given as initial fluid resuscitation when PPH is diagnosed
4. BP should be monitored every 30–60 min when the diastolic BP is ≥110 mm Hg.	4. In case bleeding does not respond to oxytocin, IV ergometrine or misoprostol should be given when PPH is diagnosed
5. The fetal heart rate (FHR) should be monitored every 30 min when the diastolic BP is ≥110 mm Hg.
6. Magnesium sulfate should be administered within 20 min. of diagnosis
7. A FBC RFT and LFT should be done within 24 h
8. Steroid therapy should be given in all pregnancies where the pregnancy is estimated to be 28–34 weeks gestation.
9. Deep tendon reflexes test and respiratory rate monitoring should be done for 24 h
10. Caesarean section (CS) should be done in 1h from when decision is made