Moderate PIH-How best to follow her up??

  Lab Tests for severe PIH:-  1 Blood :-- Haemogram – Haemogram, Viral, screen, Free T4, Thalassemia , STI screen any Burr cells, Schitocytosis  in P smear will speak of HELLP syndrome,  Blood biochemistry,  platelate count often < 150,000   LFT(AST, AST)., RFT, LDH, aPL syndrome , Coagulation   profile,   2.Urine:- By routine examination: it implies 2) 24 Ht protein, Albumin. Creatinine  radio Trace-up to 30 mg of protein /dl  2) if reporting RE is  ++ protein it implies = 30-100 mg / dl,    3) If report is +++ i, e 3+  = protein in urine is 100-300 mg/dl,   4)  ++++ 4+ =- 2000 mg / dl  3) Urine C/S 4) . Microalbuminuria  = 30-300  mg albumin/ 4 hours .Overt proteinuria= > e\ 300mg / 24 hrs, : microalbuminuria= > 5 Gm / 24 rx of urine,. ,If Overt proteinuria that   becomes an indication for initiating LMWH 3) Hepatic USG.,::4) In addition to routine tets one has to do Echo, ECG,.,.   5; Ophthalmologist opinion , 6)  Anaesthesiologist   opinion,.7)  involve cardiologist  if she is in tertiary care center, 2).Watch for deterioration of platelate count, else  of Uric acid,8) Enquire: in ward round :- Frontal headache, sleeplessness, Decreasing  24 hrs urine output, Check BP 6 times per day, watch for leg oedema. . Mild rise of creatinine = if serum creatinine is > 125 m mol//Lit:: Moderate raised of creatinine = 125- 249 m,mol/Lit in serum: severe renal failure approaching  to shut down of renal function is  serum creatinine > 250 m.mol/ Lit of serum. Ifunconscious  then blood  gas,

Obstetric : DFMS, localized tenderness of uterus evidence of abruption –localized tenderness, May avoid steroid, Mag so4 must, Doppler studies, CTG , timely induction.