Pregnancy Outcome in Pregnancies Complicated by Fetal Growth Restriction and Severe Preeclampsia.

Autor: Hassan, Mohamed Ali, Adly Elbishry, Gaser Mohamed, Sweed, Mohamed Samir, Ali, Radwa Rasheedy
Předmět:
Zdroj: QJM: An International Journal of Medicine; 2024 Supplement, Vol. 117, pi156-i157, 2p
Abstrakt: Background: common pathophysiological feature favors parallel occurrence of severe pre-eclampsia (PET) and fetal growth restriction. Objective: To identify pregnancy and neonatal outcome differences between early-onset and late-onset preeclampsia, in relation to fetal growth restriction (FGR) Methods: this retrospective study included 50 singleton pregnancies with FGR and severe PET who were admitted in Ain Shams University Maternity Hospital. Fetal growth restriction was defined as EFW and/or AC<10th percentile. Preeclampsia with severe features included patients with systolic BP ≥ 160mmHg, diastolic BP ≥ 110mmHg, elevated liver transaminases twice the normal values, elevated serum creatinine twice the normal levels, or >1.1mg/dl, HELLP syndrome, features of impending eclampsia, pulmonary edema, and/or thrombocytopenia with platelets level < 100 x 109/L. obstetric and neonatal outcomes were compared in early and late onset PET. Results: The current study revealed that there was no difference between early and late onset PET in fetal and pregnancy outcomes while there was significant difference in neonatal outcomes. Conclusion: the current study showed that risk of adverse neonatal outcomes as respiratory distress syndrome and neonatal death were higher in cases with early onset PET. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index