
The dilemma of managing Pre-eclampsia in a typical district Hospital in Sub-Saharan Africa Pre-eclampsia is a condition that normally occurs after 20 weeks gestation in pregnancy typically presenting with Hypertension, edema ( usually lower limb and abdominal wall edema), and proteinuria. Severe cases will present with complaints of headache, blurred vision and abdominal pain. A good number of these cases will have a discrepancy in fundal height and weeks of amenorrhea. Usually an African Doctor will manage thousands of cases of Pre-Eclampsia before his/her Mmed. Most of these cases will not be well monitored for obvious reasons. Most district hospitals lack the capacity to carry out simple investigations that are necessary. There are very few mid-wives in these areas. Many of these mothers may end up losing their babies. This is no different here in Uganda. Nifedipine tablets and Hydralazine are often the available anti-hypertensives available. They are pre...