Question

A 30-year-old primigravida at 38 weeks' gestation presents with severe headache, visual disturbances and epigastric pain. BP is 170/110 mmHg, urine dipstick shows 3+ protein and reflexes are brisk. You diagnose severe pre-eclampsia. What is the most appropriate management?

Accepted Answer

Immediate delivery with seizure prophylaxis using magnesium sulfate

Answer

Outpatient BP monitoring and review in one week

Answer

Start oral labetalol only and continue pregnancy to 41 weeks

Answer

Start ACE inhibitor and continue pregnancy

Answer

Reassure and treat headache with paracetamol only

Practice question

A 30-year-old primigravida at 38 weeks' gestation presents with severe headache, visual disturbances and epigastric pain. BP is 170/110 mmHg, urine dipstick shows 3+ protein and reflexes are brisk. You diagnose severe pre-eclampsia. What is the most appropriate management?