MANAGEMENT OF SEVERE PREECLAMPSIA AND ECLAMPSIA BY UK CONSULTANTS

被引:60
作者
HUTTON, JD
JAMES, DK
STIRRAT, GM
DOUGLAS, KA
REDMAN, CWG
机构
[1] UNIV BRISTOL,ST MICHAELS HOSP,DEPT OBSTET & GYNAECOL,SOUTHWELL ST,BRISTOL BS2 8EG,ENGLAND
[2] UNIV OTAGO,WELLINGTON SCH MED,DEPT OBSTET & GYNAECOL,WELLINGTON,NEW ZEALAND
[3] UNIV OXFORD,NUFFIELD DEPT OBSTET & GYNAECOL,OXFORD,ENGLAND
来源
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY | 1992年 / 99卷 / 07期
关键词
D O I
10.1111/j.1471-0528.1992.tb13819.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective To determine the current management of severe pre-eclampsia and eclampsia in the United Kingdom. Design One-page postal survey to all (1007) UK consultant obstetricians with questions about use of antihypertensive and anticonvulsant drugs in severe pre-eclampsia and eclampsia, other management strategies, definition of factors determining severity, protocol development and regional review. Results 688 replies (69.6% response rate). The antihypertensive drugs used were mainly oral labetalol (35%), oral methyl dopa (23%) and parenteral hydralazine (29%); diuretics were not used. Diazepam was the preferred drug in eclampsia. Very few consultants used magnesium sulphate (2%). Anticonvulsants were also prescribed by 85% of consultants to prevent fits; the drugs then preferred were diazepam (41%), phenytoin (30%) and chlormethiazole (24%). Two-thirds of consultants felt there was a need for trials to study the effectiveness of antihypertensive and anticonvulsant drugs. In a woman with proteinuric hypertension, 15% of consultants did not regard the development of headache as indicating severe pre-eclampsia. Consistent management practices were not associated with agreement about protocols. Regional review does not appear to have occurred. Conclusion Antihypertensive and anticonvulsant therapies are widely used but trials are considered necessary. Improvements in the management of women with severe pre-eclampsia or eclampsia might occur if UK obstetricians sought more collective opinion and undertook regional audit of protocols.
引用
收藏
页码:554 / 556
页数:3
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