M K Swamy1, Kamal Patil, Shailaja Nageshu. 1. Department of Obstetrics and Gynecology, J.N. Medical College and KLESH and MRC, Belgaum, 590 010 Karnataka India.
Abstract
OBJECTIVE: To determine the maternal and perinatal outcome after expectant management of severe pre-eclampsia between 24 and 34 weeks of gestation. METHOD: The maternal and fetal status was monitored by an intensive, non-invasive method among 94 women with severe pre-eclampsia between 24 and 34 weeks of gestation who were scheduled for expectant management in the OICU at a tertiary care center. Pregnancy prolongation and maternal and perinatal morbidity and mortality were analyzed by the Student 't' test and the Mann-Whitney U test. RESULTS: The days of pregnancy prolongation and perinatal mortality were significantly higher among those managed at <30 weeks. Increasing gestational age correlated with a reduction of RDS. Maternal morbidities were significantly higher among those managed at <28 weeks. But, there was no maternal mortality. CONCLUSION: Expectant management of severe pre-eclampsia at 30-34 weeks in a tertiary care center of a developing country is associated with good perinatal outcome and risk reduction for the mother.
OBJECTIVE: To determine the maternal and perinatal outcome after expectant management of severe pre-eclampsia between 24 and 34 weeks of gestation. METHOD: The maternal and fetal status was monitored by an intensive, non-invasive method among 94 women with severe pre-eclampsia between 24 and 34 weeks of gestation who were scheduled for expectant management in the OICU at a tertiary care center. Pregnancy prolongation and maternal and perinatal morbidity and mortality were analyzed by the Student 't' test and the Mann-Whitney U test. RESULTS: The days of pregnancy prolongation and perinatal mortality were significantly higher among those managed at <30 weeks. Increasing gestational age correlated with a reduction of RDS. Maternal morbidities were significantly higher among those managed at <28 weeks. But, there was no maternal mortality. CONCLUSION: Expectant management of severe pre-eclampsia at 30-34 weeks in a tertiary care center of a developing country is associated with good perinatal outcome and risk reduction for the mother.
Entities:
Keywords:
Early severe pre-eclampsia; Expectant management; Maternal morbidity; Perinatal outcome
Authors: Bassam Haddad; Stéphanie Deis; François Goffinet; Bernard J Paniel; Dominique Cabrol; Baha M Siba Journal: Am J Obstet Gynecol Date: 2004-06 Impact factor: 8.661
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