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
Complications
 




Complications of hypertensive disorders in pregnancy may cause adverse perinatal and maternal outcomes. Complications are often difficult to treat so make every effort to prevent them by early diagnosis and proper management. Be aware that management can also lead to complications.

Management

:: If fetal growth restriction is severe, expedite delivery
:: If there is increasing drowsiness or coma, suspect cerebral haemorrhage
:: Reduce blood pressure slowly to reduce the risk of cerebral ischaemia
:: Provide supportive therapy
:: If you suspect heart, kidney or liver failure, provide supportive therapy and observe
:: Suspect coagulopathy if:
– A clotting test shows failure of a clot to form after 7 minutes or a soft clot that breaks down easily
– Continued bleeding from venepuncture sites
:: A woman who has IV lines and catheters is prone to infection; use proper infection prevention techniques and closely monitor for signs of infection
:: If the woman is receiving IV fluids, she is at risk of circulatory overload. Maintain a strict fluid balance chart and monitor the amount of fluids administered and urine output.




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