Medical MCQ - 35 week multigravida presenting with epigastric pain, headache, visual symptoms, proteinuria 3+. What is the first step/next of management?

35 week multigravida presenting with epigastric pain, headache, visual symptoms, proteinuria 3+. What is the first step/next of management?

Immediate caesarean

Betamethasone for fetal lung maturity

Induction of labour for vaginal delivery

Sta MgSO4 therapy

Question Category:

Gynaecology & Obstetrics

Correct Answer:

Sta MgSO4 therapy

Description:

Severe hypeension / preeclamptic toxemia (imminent eclampsia) is- - Hypeension with :- Headache Visual symptoms Epigastric pain Proteinuria > 300 mg/ 24 hr. urine Protein: creatine ratio >= 0.3 1st step of RX :- MgSo4 - IM + IV (Pritchard's regimen) This is followed by termination of pregnancy (Definitive treatment)

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