Case of the Month #9 - pre-eclampsia
What is your immediate management?
- A-E assessment
- Ensure left lateral tilt/manual displacement of uterus and head down.
- Call for extra help early – midwife/obstetrician. Assess fetal wellbeing, but your main priority is the mother.
- Large bore IV access
- Fluid resuscitation
- Alert haematologist and organise blood products/major haemorrhage call
- Consider tranexamic acid
- If cardiac arrest, aim for uterine evacuation within 5 minutes. You may also need to deliver the fetus to control massive bleeding.