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In general, the treatment of postpartum preeclampsia is the same as during pregnancy, including using anti-hypertensive medications to lower blood pressure and magnesium sulfate to prevent eclampsia. The same blood pressure medications that are used during pregnancy can be used in the postpartum period.
Detection and management of pre-eclampsia is critical to reduce the risk of eclampsia. The USPSTF recommends regular checking of blood pressure through pregnancy in order to detect preeclampsia. [54] Appropriate management of a woman with pre-eclampsia generally involves the use of magnesium sulfate to prevent eclamptic seizures. [55]
Magnesium sulfate is effective in decreasing the risk that pre-eclampsia progresses to eclampsia. [24] Intravenous magnesium sulfate is used to prevent and treat seizures of eclampsia. It reduces the systolic blood pressure but does not alter the diastolic blood pressure, so the blood perfusion to the fetus is not compromised.
In women with preeclampsia or eclampsia, magnesium sulfate is often prescribed to prevent the occurrence of seizures in the gestational parent. [13] Treatment should be continued from the time of diagnosis to several weeks postpartum given the increased risk of medical complications immediately following delivery of the fetus. [ 24 ]
Magnesium sulfate is used often in patients with preeclampsia and eclampsia, can inadvertently inhibit uterine contractions. In addition, preeclampsia can lead to blood disorders such as thrombocytopenia, platelet abnormalities, and disseminated intravascular coagulation. [5]
Oxytocin - (postpartum haemorrhage) Misoprostol - (postpartum haemorrhage) Magnesium sulfate - (eclampsia and severe pre-eclampsia) Injectable antibiotics - (newborn sepsis) Antenatal corticosteroids (ANCs) - (preterm respiratory distress syndrome) Chlorhexidine - (newborn cord care) Resuscitation devices - (newborn asphyxia) Amoxicillin -
As a bronchodilator after beta-agonist and anticholinergic agents have been tried, e.g. in severe exacerbations of asthma. [4]Obstetrics: Magnesium sulfate is used to prevent seizures in women with preeclampsia and eclampsia, and is also used for fetal neuroprotection in preterm deliveries, but has been shown to be an ineffective tocolytic agent.
Magnesium sulfate [40] Myosin light chain inhibitor Probably effective in delaying preterm birth by 48 hours. [8] It is used for its neuro-protective effects since it is shown to decrease the risk of cerebral palsy in infants. [41] Absolute contraindication: myasthenia gravis. [42] Use as a tocolytic agent may result in death of the fetus or ...