Surgical Care at the District Hospital
Part 1 2 3 4 5 6 Primary Trauma Care Manual
Emergency Obstectric Care
Hypertension in Pregnancy
Hypertension
Assessment and management
Delivery
Postpartum care
Chronic hypertension
Complications
Management of Slow Progress of Labour
General principles
Slow progress of labour
Progress of labour
Operative procedures
Bleeding in Pregnancy and Childbirth
Bleeding
Diagnosis and initial management
Specific management
Procedures
Aftercare and follow-up
Postpartum Care
 




:: Continue anticonvulsive therapy for 24 hours after delivery or last convulsion, whichever occurs last
:: Continue antihypertensive therapy as long as the diastolic pressure is 110 mmHg or more
:: Continue to monitor urine output
:: Watch carefully for the development of pulmonary oedema, which often occurs after delivery.
:: It must be involved in community public health education and political solutions to common health problems.


Referral for tertiary level care

Consider referral of women who have:

:: Oliguria (less than 400 ml urine output in 24 hours) that persists for 48 hours after delivery
:: Coagulation failure (e.g. coagulopathy or haemolysis, elevated liver enzymes and low platelets [HELLP] syndrome)
:: Persistent coma lasting more than 24 hours after convulsion.



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  Kep Points  
Life threatening complications can still occur after delivery; monitor carefully until the patient is clearly recovering.