116 Systematic childbirth at 37-39 weeks in preeclampsia with no signs of severity: Maternal and neonatal outcomes: Preeclampsia in low and middle income countries

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• 作者：Paloma Torres Godinho Secomandi^a ; Ana Laura Favali^a ; Thaí ; ssa Aline Do Amaral^a ; Joã ; o Marcel Sanseverino Silva^a ; Fabiana Ricardo Campanini^a ; Diego Gomes Ferreira^b ; Bruno Rafael Zaher Muniz Pontes^a ; José ; Marcelo Garcia^a ; Vivian Macedo Gomes Març ; al^a ; Maria Renata Lopes Natale Paltronieri^a ; Fernando Pereira de Sá ; ^a ; Roberto Cé ; sar Nogueira Jú ; nior^a ; Rogé ; rio Gomes Dos Reis Guidoni^a ; Sé ; rgio Floriano de Toledo^a ; 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：235-236
• 全文大小：48 K

文摘

Systematic delivery term in preeclampsia can reduce risks, identify maternal and neonatal outcomes contributing to the adoption of this strategy worldwide.

Objective

Evaluate maternal and perinatal outcomes at 37 – 39 weeks with systematic delivery in preeclampsia with no signs of severity, comparing pregnancies with no comorbidities.

Method

A retrospective study of 1471 women who gave birth at the Guilherme Álvaro Hospital (Santos / Brazil), from January/2014 to January/2015. Data were collected from records of all deliveries. The inclusion criteria for the study group were: pregnancies with a single live fetus, gestational age 37–39 weeks in patients with “pure” or superimposed preeclampsia with no signs of severity (NHBPEP, 2000). Exclusion criteria were multiple births, gestational age less than 37 or more than 39 weeks, with severe preeclampsia and incomplete records. The control group included: pregnancies with a single live fetus, gestational age 38 – 40 weeks with no hypertension or other comorbidities, after normal deliveries of spontaneous onset. Exclusion criteria were twin pregnancies, gestational age less than 38 or more than 40 weeks, cesarean sections, forceps deliveries, induced vaginal deliveries, incomplete records, presence of collagen, clinical or gestational diabetes, smoking, fetal malformations, alloimmunization and infections. For the numerical variables of the research the Student’s t test was used and for the statistical analysis the Fisher’s exact test. The significance level was p <0.05.

Results

88 records were selected (44 in the study group/44 in the control group). Both differed regarding the variables: maternal age and gestational age at delivery, previous cesarean, type of delivery, days of hospitalization and maternal complications in the postpartum period. 50% of the women in the study group were induced at the beginning of labor but only ten pregnancies evolved to normal delivery. The following neonatal complications weren’t present: sepsis, periventricular hemorrhage, meconium aspiration syndrome, bronchopulmonary dysplasia, and any need for intubation or cardiac massage. There was just one case of pathological jaundice in each group.