Preeclampsia is not an indication of caesarean section, in fact, in foreign countries severe preeclampsia, there will be natural childbirth, but our country, may be severe preeclampsia, generally choose caesarean section.
Mild vaginal trial labour should be allowed, but monitoring of patients with preeclampsia must be in place during natural labour. In fact, it does not matter if it is severe, but I am afraid that the monitoring is not in place, in the production process, one is that eating and drinking is unstable, and some do not eat or drink, do not eat, do not enter water. There is also the painful stimulation of contractions, especially nervous, and the rest is particularly poor, it is impossible to sleep anymore, so many influencing factors may increase blood pressure. Therefore, in the process of childbirth and waiting for delivery, it may make the disease worse.
So whether it is mild or severe, in fact, it can give birth naturally, but in this process, the focus is on monitoring, how to monitor? It may be different from ordinary mothers, for example, the time to measure blood pressure may be shortened, once an hour, if it is high, it may take half an hour to measure, or on ECG monitoring, continuous measurement of blood pressure.
Second, the treatment can not be interrupted, such as magnesium sulfate antispasmodic, itself is not antihypertensive, but the treatment is according to the physiological changes to the treatment, so as long as the diagnosis of preeclampsia, should be treated with magnesium sulfate antispasmodic treatment. It should also be applied during labor, and it should also be applied during caesarean section, and it cannot be stopped. If there is no antispasmodic treatment, whether it is the pain stimulation of natural childbirth or the surgical blow, it may cause postpartum eclampsia after returning to the ward, and there are too many clinical cases. So now it is emphasized that during the caesarean section, magnesium sulfate must continue to drip, and the anesthesiologist should add other drugs if necessary to open the vein. Magnesium sulfate used to be used as a fetal protection, afraid of affecting contractions, inhibiting contractions, but in fact, we have also done clinical observations in this regard, magnesium sulfate will not affect contractions, so in the process of birth, magnesium sulfate must be infused, if the contractions are not good, and then point oxytocin, the two are not contradictory, there must be basic treatment.
Third, we must pay attention to the main complaint of the mother, because the mother is not the same personality, some women she does not say, really bear the burden of humiliation, do not speak until they are not ok, etc. they really can't do it, in fact, they don't know, the words have not been said, so sometimes she does not say, eclampsia occurs during childbirth, this situation is also visible, so we can not passively wait, do not tell the doctor uncomfortable, because the personality is not the same, some really do not say, so we have to take the initiative to ask whether it is uncomfortable, nor can we just ask a sentence uncomfortable, To ask for example, whether there is a headache, dizziness, see things clearly and clearly, whether there is breath holding, etc., take the initiative to ask her if she has these symptoms, if the dizziness, headache is particularly severe, may really occur such as intracranial hemorrhage, eclampsia convulsions, may have to happen these things.
So I think there are three aspects to focus on during labor, one is to ask the symptoms, the second is to monitor, the time interval between measuring blood pressure should be short, and the third is to treat, and the basic treatment must be there. Once the condition is aggravated, the symptoms are also aggravated, or there are some others, such as the fetus has a lack of oxygen, can not tolerate contractions, the original intrauterine development is not good, hypoxia, contractions together may be more intolerable, fetal heart changes, it is best to take a cesarean section, so that the mother and the fetus are relatively safe.