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July 2005 · Vol. 17, No. 7

Management of obstetric hypertensive emergencies

A strategy based on the triad of diagnosis, stabilization, and delivery can minimize risk of catastrophic end-organ damage.


Fast Track

I prefer a loading dose of 6 g magnesium sulfate for preventing progression to eclampsia

John  T.  Repke,  MD

OBG Management Board of Editors
Professor and Chairman, Department of Obstetrics and Gynecology, Penn State College of Medicine—Milton S. Hershey Medical Center

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Life-threatening obstetric hypertensive emergencies cannot be entirely prevented, but the risk of serious complications can be minimized.

The spectrum of hypertensive disease that can complicate pregnancy is broad—ranging from so-called “white coat” hypertension to gestational hypertension, chronic hypertension, chronic hypertension with superimposed preeclampsia, to preeclampsia.

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