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Mild PIH ManagementAka: Mild Preeclampsia, PIH Management, Preeclampsia Management

See Also
Monitoring in Mild Preeclampsia
1. Initial evaluation and then every three weeks
  1. Estimate Fetal Growth
  2. Estimate amniotic fluid index (AFI)
2. Initial evaluation and repeat weekly if normal
  1. Reactive Non-Stress Test (NST)
  2. Biophysical Profile (BPP) of 8 or more
3. Indications for bi-weekly monitoring
  1. Ultrasound Estimated Fetal Weight <10th percentile
  2. Oligohydramnios (amniotic fluid index <5 cm)
4. Repeat labs every day to weekly
Management: Mild Preeclampsia
1. See Delivery Indications in PIH
2. Term Gestation
  1. Hasten delivery
3. Preterm gestation
  1. Monitor Preeclampsia Symptoms and Signs
  2. Obtain Preeclampsia Labs
  3. Fetal Assessment after 26-28 weeks
    1. Monitor Fetal movevement with kick counts
    2. Nonstress Test (NST) biweekly
    3. Consider Oxytocin Challenge Test (OCT)
    4. Biophysical Profile (BPP)
    5. Consider Fetal Lung Maturity
Monitoring and Management: Severe Preeclampsia
1. See Severe PIH Management
References
1. Fontaine (2000) in ALSO, B:1-36
2. Sibai in Gabbe (2002) Obstetrics, p. 945-74
3. (2000) Am J Obstet Gynecol 183(1):S1
4. Zamorski (2001) Clin Fam Pract 3:329

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.