Obstetrics and Gynaecology

Pre-Eclampsia

Q: A 28-year-old woman at 32 weeks gestation presents with a blood pressure of 160/110 mmHg and proteinuria. What is the diagnosis?

Pre-eclampsia is defined by the new onset of hypertension and proteinuria after 20 weeks gestation. This patient's presentation meets these criteria.

Q: What is the definitive cure for pre-eclampsia?

The definitive cure for pre-eclampsia is the delivery of the placenta, which removes the source of the disease.

Q: A patient with pre-eclampsia has a blood pressure of 140/90 mmHg but no severe features. What is the initial management approach?

For patients with pre-eclampsia and no severe features, expectant management is often appropriate if the patient is stable.

Q: What is a key feature of severe pre-eclampsia?

Severe pre-eclampsia is characterized by a blood pressure of >160/110 mmHg, among other features.

Q: Which of the following is NOT a contraindication for antihypertensive treatment in pre-eclampsia?

Antihypertensive treatment is indicated for a blood pressure of >160/110 mmHg or >140/90 mmHg with symptoms. A blood pressure of >140/90 mmHg without severe features may not require immediate treatment.

Pre-eclampsia is a pregnancy-specific multisystem endothelial disease characterized by new hypertension after 20 weeks and proteinuria or organ dysfunction. This condition has significant clinical implications as it can lead to severe complications for both the mother and the fetus if not promptly diagnosed and managed, making it crucial for medical students to understand its pathophysiology, clinical presentation, and management principles. Understanding pre-eclampsia is essential for medical students because it is a leading cause of maternal and fetal morbidity and mortality worldwide, and its early recognition and appropriate management can significantly improve outcomes.

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1. A 28-year-old woman at 32 weeks gestation presents with a blood pressure of 160/110 mmHg and proteinuria. What is the diagnosis?

2. What is the definitive cure for pre-eclampsia?

3. A patient with pre-eclampsia has a blood pressure of 140/90 mmHg but no severe features. What is the initial management approach?

4. What is a key feature of severe pre-eclampsia?

5. Which of the following is NOT a contraindication for antihypertensive treatment in pre-eclampsia?

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Pre-Eclampsia

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