A 30-year-old woman at 36 weeks' gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria, headache, and right upper quadrant pain. Accord...

Question

A 30-year-old woman at 36 weeks' gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria, headache, and right upper quadrant pain. According to SOGC guidelines, what is the most appropriate management?

Accepted Answer

Admit urgently, control blood pressure, start magnesium sulphate, and plan for delivery after maternal stabilisation

Answer

Outpatient follow-up in 1 week with repeat blood pressure

Answer

Start oral labetalol and continue pregnancy to term

Answer

No need for antihypertensives if the fetus is well

Answer

Delay delivery until 41 weeks to minimise prematurity

ca-mccqe1 MCQ (SBA): Severe pre-eclampsia

A 30-year-old woman at 36 weeks' gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria, headache, and right upper quadrant pain. According to SOGC guidelines, what is the most appropriate management?