Expectant management, or observation, is sometimes used to
manage complications of a high-risk pregnancy. Depending on the severity of
pre-eclampsia, you may need expectant management at
home or in the hospital.
Expectant management at home requires
reduced activity and careful checking and daily recording of:
Urine protein measurement.
The daily log of symptoms and measurements is combined with
frequent (usually twice weekly) checks at the doctor's office.
Being on expectant management may mean you are
advised to stop working, reduce your activity level, or possibly spend a lot of
time resting (partial bedrest). Although partial bedrest is considered
reasonable treatment for pre-eclampsia, its effectiveness is not proved for
treating mild pre-eclampsia.footnote 1 It is known that strict
bedrest may raise your risk of developing a blood clot in the legs or
Expectant management in the hospital requires some bedrest
and includes more frequent electronic and laboratory monitoring of the mother
Sibai BM (2003). Diagnosis and management of gestational hypertension and preeclampsia. Obstetrics and Gynecology, 102(1): 191-192.