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Objectives Identify maternal and perinatal outcome of vaginal childbirth in pregnant women with pre-eclampsia (PE). Methods Retrospective study involving 524 pregnant women with single and live fetus who gave birth at the Hospital Guilherme Alvaro – Santos/SP (January, 2012 to December, 2012) presenting at gestational age ⩾ 37 weeks. Selected: 12 for study group (pregnant with preeclampsia NHBPEP-2000) and 12 for the control group (normal pregnant women who delivered vaginally after the study group). Several maternal variables were analyzed: obstetric history, method of early labor, administration of magnesium sulfate and/or antihypertensive, complications during labor and delivery, postpartum, days of hospitalization and ICU admission. Also, perinatal variables: birth weight of the newborn, meconium or not amniotic fluid at delivery, Apgar score, therapeutic care, with respiratory complications, length of stay in hospital and ICU admission. To compare the groups in terms of numerical variables, we applied the Student t test for unrelated samples and, regarding categorical, we used the Fisher exact test. Results The results show that the experimental and control groups differ in the variables: age of the pregnant women, gestational age at birth and early labor (∗p Variable Study group Control group Variable Study group Control group Average maternal age (years) 29.6* 24.3 Perinatal complications 1-meconium aspiration 1-tocotraumatism 1-transient tachypnea Average gestational age (weeks) 38.5* 39.4 Weight of newborn > 2500 g > 2500 g Early labor Spontaneous Induced Apgar 1st and 5th minute Same average Same average Admission period 4–7/>7 days 4/4 1/1 Puerperium complications No No Parity 9 8 Therapeutic care to newborn No Inhaled oxygen Induction of delivery for maternal indication 10 4 Indications for hospitalization in the intensive care unit for newborns and mothers No No Administration of magnesium sulfate and antihypertensive No No ICU admission for mothers’ and newborns between 4 and 7 days 3 0 Meconium amniotic fluid 2 0 ICU admission for mothers’ and newborns between 8 and 14 days 1 0 Conclusions Despite this small sample in the study, there were no adverse maternal/perinatal outcomes that contraindicate vaginal delivery in patients with preeclampsia. It was demonstrated by maternal/perinatal variables that there were no statistically difference between the control and study groups. Additional studies with larger sample will collaborate to encourage the adoption of practices that can reduce maternal and fetal risks, without the utilization of systematic cesarean delivery, particularly in the group of pregnant women with pre-eclampsia. Disclosures L. Vidal: None. G. Gomes: None. M. Boarini: None. R. Horita: None. R. de Mendonca: None. T. Molina: None. T. Kanashiro: None. A. Menegazzo: None. S. de Toledo: None. N. Sass: None. R. Guidoni: None. F. Sousa: None. |
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