We put LM on bed rest and continued to watch her carefully over the ensuing weeks by repeating many of the tests. When she was four weeks from her due date, her blood pressure began to rise and we found more protein in her urine. It was time for LM to deliver. We gave her magnesium to prevent seizures and pitocin to initiate labor.
LM had a healthy six-pound daughter who was able to go home with her mom on the second post-delivery day.
This case illustrates the concept of conservative management. Careful observation is an acceptable management plan with mild preeclampsia. It is a poor plan if severe preeclampsia is present.
Summary
Preeclampsia is a very common medical condition during pregnancy. Properly identifying the disease enables your physician to make important decisions, which will affect the outcome of your pregnancy. If you have any worrisome symptoms during your pregnancy, pick up the phone and call your doctor.
Craig L. Bissinger, MD is a board certified Obstetrician/Gynecologist practicing in Parsippany, NJ. Dr. Bissinger is vice-chairman of the Department of OB/GYN at Morristown Memorial Hospital where is is also actively involved in teaching medical students and residents. Dr. Bissinger is a frequent speaker on a host of women's health topics and a member of the Eli Lilly Speakers Bureau.
Copyright © Craig L. Bissinger. Permission to republish granted to Pregnancy.org, LLC.
