Question

A 29-year-old primigravida at 32 weeks gestation presents with right upper quadrant pain, headache and visual disturbance. BP is 162/104 mmHg, platelets 85 × 10⁹/L and ALT markedly elevated. According to pre-eclampsia management guidelines, what is the most appropriate management?

Accepted Answer

Immediate delivery after stabilisation with magnesium sulphate and antihypertensives

Answer

Outpatient management with oral labetalol

Answer

Delay delivery until 40 weeks with close outpatient monitoring

Answer

High-dose diuretics to treat hypertension

Answer

No treatment; symptoms are normal in late pregnancy

Practice question

A 29-year-old primigravida at 32 weeks gestation presents with right upper quadrant pain, headache and visual disturbance. BP is 162/104 mmHg, platelets 85 × 10⁹/L and ALT markedly elevated. According to pre-eclampsia management guidelines, what is the most appropriate management?