Author(s): DOROTA DARMOCHWAÅ-KOLARZ, BOÅ»ENA LESZCZYÅSKA-GORZELAK, DOMINIK DÅUSKI, ANITA CHARA, MICHAÅ KORZENIEWSKI, JAN OLESZCZUK
In a current review we collect and lay down principles of the treatment of preeclampsia and eclampsia. It is essential to diagnose and distinguish preeclampsia from other diseases with hypertension and proteinuria as fast as possible. We need to remember about a differentiation of preeclampsia severity and treatment adjustment to that. The maternal laboratory tests values are as important as well as fetal well-being and growth. Timing of delivery is based upon gestational age, maternal and fetal condition, severity of disease. It is suggested to deliver if is ?37 weeks of gestation in all women with preeclampsia. In severe preeclampsia there are increased rates of maternal liver and kidney dysfunction, induced labor, caesarean section, preterm birth, fetal growth restriction and neonatal difficulties of breathing . We have to give antenatal glucocorticoids 24-34. weeks of gestation. The most effective treatment in breaking eclamptic seizures and their prophylaxis in severe preeclampsia is magnesium sulfate.