GuidelinesOther guideline
Labour and Delivery in Hypertensive Disorders
The guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.
INDUCTION OF LABOUR
The usual methods of induction may be used: take great care during induction of labour in severe pre-eclampsia, especially preterm & with oligohydramnios or suspected IUGR. CTG monitoring is mandatory.
LABOUR
- Admit to a high care area
- Give total fluids 70 mL/hour
- Run continuous CTG
- If oxytocin is used, give it from a 200 mL bag of normal saline
- Do assisted delivery if BP ≥160/110 in the second stage or if the woman cannot push
- Ergometrine is contraindicated in the third and fourth stages
- If caesarean section needs to be done, please note pre-anaesthetic tests (see Caesarean Section)