Figure 1037

Treatment of preeclampsia requires close monitoring of both the maternal and fetal condition to maximize chances of avoiding catastrophes such as seizures, renal failure, and fetal demise. Close surveillance is best accomplished in the hospital in all but the mildest cases. Maternal hypertension should be treated to avoid cerebrovascular and cardiovascular complications. Magnesium sulfate is the treatment of choice for seizure prophylaxis and usually is instituted immediately after delivery. When the fetus is mature, delivery is indicated in all cases. When the fetus is immature, the decision to deliver is made after carefully assessing both the maternal and fetal condition. When maternal health is in jeopardy, delivery is necessary, even with a premature fetus.

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