Perinatal Outcome during Expectant Management of Early Onset Severe
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 2
Abstract
The objective of the study was to determine the perinatal outcome of expectant management of early onset severe preeclampsia. A prospective study series was conducted at a tertiary teaching hospital over one year period. The inclusion criteria and exclusion criteria for the study were defined. The treatment protocol was finalized and approved by the institutional ethical committee. The patients included in the study (n=105) were monitored in the intensive care unit. The fetal status was monitored by intensive non invasive methods. Pregnancy prolongation and perinatal morbidity and mortality were analyzed. Chi square test was applied to quantitative variables. Pregnancy was prolonged by a mean of 16.7 days the number of days of prolongation of pregnancy was higher when the gestational age was less than thirty weeks. The incidence of admission to neonatal care facility decreased with advancing gestational age. The increase in gestational age also correlated with reduction of RDS. From the one year study we arrive at a conclusion that it is best to deliver the patient with early onset severe preeclampsia, after 33 weeks of gestation by putting her into expectant management. This can be achieved with no increased mortality or morbidity to the mother and better neonatal outcome to the baby. Keywords: Early Onset severe preeclampsia, Perinatal outcome, Expectant management.
Authors and Affiliations
Manjusha Viswanathan, Viswanathan K V, Suja Daniel
Keywords
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