Giving birth is the only cure for preeclampsia. Preeclampsia limits blood flow to the placenta and the fetus. If a woman has symptoms, flow may already be reduced by 50%. The healthcare provider may decide to induce labor or to wait for labor to occur naturally. The following factors will determine the decision:
If the symptoms are mild, outpatient treatment is common. This includes bed rest at home and biweekly exams in the provider's office. If symptoms do not improve, hospitalization may be needed. Fetal testing will be done to decide if early delivery is possible.
In severe cases, the provider may decide to induce labor with medications. Delivery may be induced if any of the following conditions occur:
Treating severe preeclampsia means controlling the woman's blood pressure. A C-section may be needed. Medications to prevent eclampsia include magnesium sulfate and hydralazine. Anticonvulsants may be used to prevent seizures.
Magnesium sulfate may cause nausea, vomiting, and breathing problems. These can often be avoided with careful monitoring of serum magnesium levels. Other medications may cause allergic reactions and stomach upset.
A woman may be at risk for developing eclampsia up to 6 weeks after delivery. She will have regular visits to the healthcare provider, as well as regular blood and urine tests.
Any new or worsening symptoms should be reported to the healthcare provider.