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The patient\u2019s hyponatraemia resolved with delivery, fluid restriction and serial sodium monitoring. Adjustment to the components of the patient\u2019s magnesium sulfate infusion was made to reduce free water intake and avoid further exacerbation of her hyponatraemia. While there is currently no recommendation to routinely monitor sodium levels in hypertensive disorders of pregnancy, careful consideration of this potential finding in cases of pre-eclampsia should be given due to the overlap between symptoms of hyponatraemia and cerebral symptoms of pre-eclampsia.<\/jats:p>","DOI":"10.1136\/bcr-2021-244688","type":"journal-article","created":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T13:08:16Z","timestamp":1629205696000},"page":"e244688","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Management of hyponatraemia in pre-eclampsia with severe features"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1452-6519","authenticated-orcid":false,"given":"Julia","family":"Whitley","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Swartz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjali","family":"Martinez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,8,17]]},"reference":[{"key":"2025082711130837000_14.8.e244688.1","unstructured":"Centers for Disease Control and Prevention . 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