MAGNESIUM SULFATE
FOR ECLAMPSIA
- 4 g intravenous loading dose
- Immediately followed by 10 g intramuscularly – 5 mg in each buttock
- Followed by 5 g intramuscularly every 4 hours in alternating buttocks
- Check patellar reflexes before each injection
- If weak or absent wait another 4 hours before giving next injection
MISOPROSTOL
FOR INDUCTION IN IUFD
Gestational age < 26 weeks
- ORAL ADMINISTRATION (preferred)
- One tablet diluted in 10 cc
- 2 cc orally every 6 hours
- VAGINAL ADMINISTRATION
- ½ tablet in vagina every 6 hours
Gestational age > 26 weeks
- ORAL ADMINISTRATION (preferred)
- One tablet diluted in 10 cc
- 1 cc orally every 4 hours
- VAGINAL ADMINISTRATION
- ¼ tablet in vagina every 4 hours
- One tablet diluted in 10 cc
- 1 cc in vagina every 4 hours
Use only exceptionally and with greatest precaution for induction with alive fetus
FOR POSTPARTUM BLEEDING
ORAL ADMINISTRATION (preferred)
RECTAL ADMINISTRATION
VALIUM
For
Eclampsia:
- 5 to10 mg i.v. or rectally
- Repeat after 10 to 15 minutes up to a maximum dose of 30 mg
- If needed repeat after 2 to 4 hours.
- Keep a syringe loaded with 10 mg at bedside
- Give immediately i.v. when a seizure is noted
OXYTOCIN
FOR INDUCTION OF LABOUR
- 10 units in 500 cc Normal Saline solution
- Start i.v. infusion with 10 ml per hour
- increase by 20 ml every 20 minutes until contractions occur
FOR POSTPARTUM HEMORRHAGE
- 30 units in 500 CC Normal Saline
- Infused over 2 to 4 hours
NEFIDIPINE
For
Hypertension:
For Premature
Labor:
- 10 to 40 mg
- Followed by 10 to 20 mg every 6 to 8 hours
LIDOCAINE
For Eclampsia:
2mg/kg/h i.v. as
maintenance
SALBUTAMOL
For Premature Labor: