145 Systematic delivery approach at 37 weeks of gestation in mild and severe preeclampsia: Maternal and neonatal outcomes: Preeclampsia in low and middle income countries

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• 作者：Beatriz Mendes Awni^a ; Mariana Abduch Rahal^a ; Arthur Barros Fontes^a ; Lorena Fernandes Audi^a ; Isabela Cosimato Ferrari^a ; Bá ; rbara Alves Rhomberg^a ; Natine Fuzihara Rosa^a ; Lucas Borges de Souza^a ; Vera Esteves Vagnozzi Rullo^a ; Sé ; rgio Floriano de Toledo^a ; Rogé ; rio Gomes dos Reis Guidoni^a ; Maria Rita de Souza Mesquita^b ; Nelson Sass^b ; Wittaya Chaiwangyen^c ; Eder Viana de Souza^d ; Francisco Lazaro Pereira de Sousa^a
• 刊名：Pregnancy Hypertension: An International Journal of Women's Cardiovascular Health
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：6
• 期：3
• 页码：251-252
• 全文大小：268 K

文摘

Preeclampsia is associated with complications especially in severe forms. Recognize this condition can direct to adoption of different behaviors.

Objectives

Evaluate epidemiological characteristics and compare maternal and neonatal outcomes of mild and severe preeclampsia in pregnancies that results in delivery after 37 weeks of gestation.

Methods

Prospective study with 40 women was developed in Guilherme Álvaro Hospital-Santos/Brazil, during December/2015 and May/2016. Study group: 20 women with preeclampsia (13 mild and 7 severe), according to NHBPEP – National High Blood Pressure Education Program (2000) criteria and gestational age mathURL="/science?_ob=MathURL&_method=retrieve&_eid=1-s2.0-S2210778916302987&_mathId=si1.gif&_user=111111111&_pii=S2210778916302987&_rdoc=1&_issn=22107789&md5=3dba201b515afe4335dbf05c30867c93" title="Click to view the MathML source">>$>$37 weeks. Control group: 20 pregnant women with single and live fetus, science?_ob=MathURL&_method=retrieve&_eid=1-s2.0-S2210778916302987&_mathId=si1.gif&_user=111111111&_pii=S2210778916302987&_rdoc=1&_issn=22107789&md5=3dba201b515afe4335dbf05c30867c93" title="Click to view the MathML source">>$>$38 weeks, without comorbidities. Exclusion criteria for study group: twin pregnancy, fetal anomalies and gestational age under 37 weeks. Control group exclusion criteria: twin pregnancy, gestational age under 38 weeks, cesarean/forceps/induced vaginal delivery and comorbidities. Maternal variables: age, gestational age at delivery, previous pregnancy history, body mass index (BMI), comorbidities, length of hospital stay and intensive care unit (ICU) admission, previous preeclampsia and delivery route. Neonatal variables: birth weight, adequacy weight for gestational age, Apgar score, meconium fluid at delivery, intensive care unit admission, acute respiratory distress syndrome, cardiopulmonary arrest, jaundice, oxygen therapy and intrahospital mortality. The statistical comparisons were made using Fisher’s exact test and Tukey multiple comparisons method. The significance level was p science?_ob=MathURL&_method=retrieve&_eid=1-s2.0-S2210778916302987&_mathId=si3.gif&_user=111111111&_pii=S2210778916302987&_rdoc=1&_issn=22107789&md5=2006162fae22247658a07bef5392ac84" title="Click to view the MathML source"><$<$0,05.

Results

Comparison between the three groups in maternal and neonatal outcomes (^* = p science?_ob=MathURL&_method=retrieve&_eid=1-s2.0-S2210778916302987&_mathId=si3.gif&_user=111111111&_pii=S2210778916302987&_rdoc=1&_issn=22107789&md5=2006162fae22247658a07bef5392ac84" title="Click to view the MathML source"><$<$0,05):

Conclusions

The present study showed that the mild preeclampsia group has better results than the severe group in some variables. This first group had no need of mother ICU admission, their BMI is higher and was the group with more previous preeclampsia. The severe preeclampsia group has a significant level of arterial hypertension, stayed longer in the hospital and their newborn had presented more general complications. Data shows more favorable maternal and neonatal outcomes in the control group.