Effect of gestational age at admission on perinatal outcome in early onset pre-eclampsia cases
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 6, Issue 2
Abstract
Background: Preeclampsia is the leading cause of maternal and perinatal morbidity and mortality worldwide. Earlyonset PE poses a management dilemma. Delivery may benefit the mother, but may harm a premature fetus. Expectant management in women with early-onset PE before 34 weeks’ gestation may reduce neonatal complications. Aim: To investigate the effect of gestational age at admission on perinatal outcome in early onset pre-eclampsia cases. Material and Methods: This cross – sectional study done to assess the perinatal outcome in 133 patients of pre-eclampsia in gestational age of 24-34 weeks with expectant management in a tertiary care hospital in a city in Maharashtra. The perinatal outcomes in those with gestational age <30 weeks and gestational age >30 weeks were compared. Results: The mean gestational age of women in study was 31.46+2.4 weeks. There was significant difference in the occurrence of intrauterine death, respiratory distress syndrome and birth asphyxia between the two groups (p<0.01). However, need for NICU admission, take home baby rate and incidence of maternal omplications in the two groups were similar. Conclusion: With expectant management, pre-eclampsia not correlated with maternal mortality, but substantial neonatal mortality. If pre-eclampsia is picked up earlier in periphery and referred earlier to tertiary care centre, perinatal outcome is good.
Authors and Affiliations
Vidya R Tirankar, Pradeepkumar Sandipan Jadhavar, Chaitali Thakur
Keywords
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