Excellent video as usual, Dr! Thanks very much. So GP's can switch treatment for those already on treatment for chronic hypertension, but cannot initiate treatment for PIH?
Thank you for your comment. While managing medications like labetalol, nifedipine, and methyldopa is usually straightforward, we always need to involve secondary care. If the patient has symptoms, proteinuria, or the BP is very high, the labour ward should see them the same day for foetal monitoring and further assessment and management. For non-urgent cases, patients can be seen by obstetricians in a non-emergency clinic appointment, and we may be able to adjust their treatment while they wait. In case of uncertainty, it's advisable to discuss the case with the obstetric registrar over the phone, covering our actions from a medico-legal perspective. Each case is unique so it really depends on the circumstances.
Very hard work , well appreciated. Excellent
Thank you very much for your appreciation 🙏
Excellent video as usual, Dr! Thanks very much. So GP's can switch treatment for those already on treatment for chronic hypertension, but cannot initiate treatment for PIH?
Thank you for your comment. While managing medications like labetalol, nifedipine, and methyldopa is usually straightforward, we always need to involve secondary care. If the patient has symptoms, proteinuria, or the BP is very high, the labour ward should see them the same day for foetal monitoring and further assessment and management.
For non-urgent cases, patients can be seen by obstetricians in a non-emergency clinic appointment, and we may be able to adjust their treatment while they wait. In case of uncertainty, it's advisable to discuss the case with the obstetric registrar over the phone, covering our actions from a medico-legal perspective. Each case is unique so it really depends on the circumstances.