Case of the Month #9 - pre-eclampsia

Published 03/02/2022

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.