5 Hospitalization for close glucose monitoring is mandatory. The main question now concerns management. Not all women with PIH need hospitalization. Bed rest is indicated for most of the day, doctor visits should be made minimum twice a week and any unusual symptoms should be reported immediately. Response to ambulatory management is usually good but it is appropriate as long as the disease doesn't progress and fetal development and well being are preserved.
Ambulatory management is possible only with highly compliant patients.
Blood pressure measurements 4 times a day. Search for signs and symptoms of severe preeclampsia such as headache and epigastric pain. Stick test for detection of urine protein. Creatinin clearance and quantitative urine protein measurements once or twice a week. Blood sample for uric acid and creatinine once or twice a week.