Maternal and perinatal outcome of women with early onset severe preeclampsia before 28 weeks: Is expectant management improves perinatal outcome in a low resource country?

Autor: Lekha, Gangadhar, Sasirekha, Rengaraj, Sutharsika, Thiyagalingam, Bethou, Adhisivam
Rok vydání: 2022
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.
ISSN: 1879-3479
Popis: The aim was to study the maternal and perinatal outcomes in women with severe preeclampsia before 28 weeks of gestation.A descriptive study from a tertiary care center. All consecutive women with severe preeclampsia (PE) with the onset before 28 weeks of gestation were included. The details were collected in a predesigned structured proforma prospectively.The study cohort included 145 women with a mean maternal age of 26.97years ±5.36 (19-47). The mean duration of prolongation of pregnancy was 13.04 days± 10.57 (1-51 days). A total of 29.7% of women had at least one major adverse maternal outcome, and the most common was HELLP syndrome (16.6%), followed by eclampsia (8.3%). The stillbirth rate was high (68.7%), and the majority occurred in the antepartum period. Out of 47 babies born alive, only eight babies continued to survive till 28 days of life. FGR with Doppler abnormalities and neonatal sepsis were the common reasons for perinatal mortality.Expectant management should not be considered routinely when the onset of severe PE is before 25
Databáze: OpenAIRE