Arrange escorted transfer to obstetric unit for further assessment even if bleeding seems to settle, as the fetus may be compromised. Anti-D may be required. Worldwide, toxaemia accounts for approx. These are thought to be due to the effects of circulating prostaglandins. Risk also increased if multiple, large, or abnormal infants, maternal diabetes, or poor nutritional state of mother.
PET requires admission to an obstetric unit for close monitoring of mother and infant.
The condition will often improve with bedrest, but if severe, and eclampsia seems imminent, urgent delivery is warranted regardless of gestation. Eclampsia is fitting during or shortly after pregnancy. PET or HT Bed rest socially costly and usually stressful, may be financially costly 2 controlled trials, with conflicting results Elective confinement 1 small trial suggesting the outcomes for the mother are improved, but are worsened for the infant. No clear guidelines reached, although generally accepted to deliver at term. Antihypertensives clearly reduce blood pressure, no effect on oedema or proteinuria, may slightly reduce risk of neonatal death.