by email@example.com (322 Posts), Sun Dec 10, 2006 12:27 am
The data are probably buried in all the high and low risk prevention trials. In all honesty I have never thought about this before for the following reasons: When preeclampsia occurs near term, the caregiver usually terminates the pregnancy. This question usually relates to preeclampsia remote from term and there is a big debate of whether temporization should even be attempted in the face of severe disease because of the potential compromise to the mother's health. Most try to control hypertension appropriately within 24-48h and if successful continue the gestation as long as no signs of maternal or fetal deterioration (HELLP features, renal dysfunction, impending eclampsia, fetal jeopardy). If you read the studies here carefully, none really sterling, two weeks is about the most one gets.
I do not manage the gravida but act as the medical consultant. As you know preeclampsia is unpredictable, the Greek term Ã¢â‚¬Å“eclampsusÃ¢â‚¬Â meaning Ã¢â‚¬Å“lighteningÃ¢â‚¬Â. I worked for many years with a DoctorÃ¢â‚¬â„¢s Doctor (retired head of our MFM section), and can still hear his wise advice to our shared patients once the diagnosis of preeclampsia was entertained: Ã¢â‚¬ÂOne day at a time."