Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
Preeclampsia has no cure except for delivery of the baby. However, delivery
may not always be the best option at the time preeclampsia is diagnosed. The
treatment that the patient receives depends the severity (mild versus severe) of the
associated symptoms and the stage of the pregnancy.
The closer the patient is to her due date, the more likely
the cervix will be ripe (ready for delivery), and that induction of labor
will be successful. Sometimes medications are given to help induce labor.
Earlier in pregnancy (24-34 weeks), there is less
chance of a successful induction (although induction it is still possible). It
is more common to have a cesarean delivery when preeclampsia necessitates
delivery early in pregnancy.
Sometimes preeclampsia is too severe and/or the baby
shows signs of compromise, such as decreased fetal heart rate, and thus an
immediate cesarean delivery must be performed.
If the disease is severe and the baby is premature,
the patient may first be given a medication called betamethasone (a corticosteroid) to
help mature the baby's lungs before the baby is delivered.
If the disease is more severe and immediate delivery
is not required, the patient may be admitted to the hospital for bed rest and closer
observation of the patient and the baby.
If the disease is mild, the patient is early in the third
trimester, or both, she may be sent home for bed rest with close follow-up
with the health care professional office.
If the patient is at or near term (at least 37 weeks), expect
either that labor will be induced or a cesarean delivery will be performed.
The decision to induce labor or perform a cesarean delivery will be made by
the obstetrician depending upon the patien'ts health, the baby's health, and the
condition of the woman's cervix (which is a factor in whether induction of labor is
likely to be successful).
Also remember that a change in either the patient's condition or the baby's
condition can occur quickly. If this happens, notify the health care
and expect management to change as well.