Volume 46, Issue 3 , Pages 255-259, September 2007
Maternal and Neonatal Outcomes in Women with Preeclampsia
Article Outline
Summary
Objective
Preeclampsia is a pregnancy-specific hypertensive syndrome associated with significant morbidity and mortality in mother and neonate. We compared neonatal and maternal complications in preeclamptic women with healthy pregnant women.
Materials and Methods
All 125 consecutive women with preeclampsia at Bandarabbas Shariati Hospital were assessed between July 2005 and July 2006. Parity, type of delivery, common causes of cesarean section, gestational age, birth weight, and neonatal complications and mortality were included as study variables and compared with the control group.
Results
Cesarean section rates were significantly higher in the group with preeclampsia than in the control group (p < 0.05). The mean parity was higher in the normotensive group than in the preeclamptic patients (2.3± 0.65 vs. 3.6± 0.74; p < 0.05). In the preeclamptic women undergoing vaginal delivery, 31% of them underwent induction of labor. The most common indication for induction of labor was severity of preeclampsia (77.8%). Birth weight was statistically significantly lower in women with preeclampsia (p < 0.0001). Among the patients, 5.6% of them were admitted with intrauterine fetal demise, while 111 neonates survived for the remaining patients. The most common causes of neonatal mortality were congenital abnormalities and respiratory distress syndrome.
Conclusion
Gestational age, parity, cesarean section rate, the rate of induced labor, and low birth weight neonates were more frequent in preeclamptic women than in healthy pregnant women.
Key Words: morbidity , mortality , neonate , outcome , preeclampsia
No full text is available. To read the body of this article, please view the PDF online.
References
- . Delivery and perinatal aspects of pregnant women with pre-eclampsia-eclampsia . Akush Ginekol (Sofiia) . 2004;43:3–9 [In Bulgarian]
- . Prediction of maternal complications and adverse infant outcome at admission for temporizing management of early-onset severe hypertensive disorders of pregnancy . Am J Obstet Gynecol . 2006;195:495–503
- . Severe maternal complications associated with pre-eclampsia: an almost forgotten pathology? . Nefrologia . 2001;21:565–573 [In Spanish]
- . Effects of preeclampsia on the mother, fetus and child . Gynaecol Forum . 1999;4:25–27
- . Risk factors and clinical manifestations of pre-eclampsia . BJOG . 2000;107:1410–1416
- . International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) . Geneva: WHO; 1994;
- . Is grand multiparity an independent predictor of pregnancy risk? A retrospective observational study . Med J Aust . 2003;179:294–296
- . Management of hypertension in pregnancy . Am J Cardiovasc Drugs . 2001;1:253–262
- . Preterm delivery for maternal or fetal indications: maternal morbidity, neonatal outcome and late sequelae in infants . BJOG . 2000;107:648–655
- . Hypertensive disorders of pregnancy . Int J Gynaecol Obstet . 2004;87:194–198
- . Births: final data for 1998 . Natl Vital Stat Rep . 2000;48:1–100
- . Hypertensive disorders of pregnancy: prevalence, classification and adverse outcomes in northwestern Saudi Arabia . Ann Saudi Med . 1999;6:557–560
- . Altitude and socio-biological determinants of pregnancy-associated hypertension . Int J Gynaecol Obstet . 1994;44:135–138
- Prevalence and incidence of preeclampsia. Available at: www.wrongdiagnosis.com/p/preeclampsia/prevalence.htm
- . Preeclampsia. Part 1: clinical and pathophysiologic considerations . Obstet Gynecol Surv . 2002;57:598–618
- . Pre-eclampsia: maternal risk factors and perinatal outcome . Fetal Diagn Ther . 2003;18:275–280
- . Predictors of neonatal outcome in women with severe preeclampsia or eclampsia between 24 and 33 weeks' gestation . Am J Obstet Gynecol . 2000;182:607–611
- . Hypertension during pregnancy in South Australia, part 2: risk factors for adverse maternal and/or perinatal outcome—results of multivariable analysis . Aust N Z J Obstet Gynaecol . 2004;44:410–418
- . Outcome of infants delivered between 24 and 28 weeks' gestation in women with severe pre-eclampsia . J Matern Fetal Med . 2001;10:301–304
- . Impact of pregnancy-induced hypertension on birth weight by gestational age . Paediatr Perinat Epidemiol . 2004;18:186–191
- . Mortality and morbidity associated with early-onset preeclampsia . Hypertens Pregnancy . 2000;19:221–231
- Yorkshire Obstetric Critical Care Group. Outcomes of severe pre-eclampsia/eclampsia in Yorkshire 1999/2003 . BJOG . 2005;112:875–880
PII: S1028-4559(08)60029-7
doi:10.1016/S1028-4559(08)60029-7
© 2007 Taiwan Association of Obstetric & Gynecology. Published by Elsevier Inc. All rights reserved.
Volume 46, Issue 3 , Pages 255-259, September 2007
