Criteria of pregnancy termination in women with preeclampsia

Preeclampsia remains an important cause of maternal and neonatal mortality and morbidity. Delivery is always the appropriate therapy for the mother but may be responsible for neonatal adverse outcomes, particularly when it occurs at less than < 34 weeks' gestation. In women with severe preec...

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Published inGynécologie, obstétrique & fertilité Vol. 30; no. 6; p. 467
Main Authors Haddad, B, Louis-Sylvestre, C, Doridot, V, Touboul, C, Abirached, F, Paniel, B J
Format Journal Article
LanguageFrench
Published France 01.06.2002
Subjects
Delivery, Obstetric
Female
Fetal Diseases - prevention & control
Gestational Age
HELLP Syndrome - physiopathology
HELLP Syndrome - therapy
Humans
Patient Selection
Pre-Eclampsia - physiopathology
Pre-Eclampsia - therapy
Pregnancy
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Summary:Preeclampsia remains an important cause of maternal and neonatal mortality and morbidity. Delivery is always the appropriate therapy for the mother but may be responsible for neonatal adverse outcomes, particularly when it occurs at less than < 34 weeks' gestation. In women with severe preeclampsia at < 34 weeks expectant management to improve neonatal mortality and morbidity may be performed under close monitoring of both the mother and the fetus. Any severe condition of the mother (HELLP syndrome, abruptio placentae, eclampsia) or the fetus (abnormal fetal heart rate) should lead to prompt delivery. In women with mild preeclampsia, expectant management should be performed until 38 weeks gestation.
ISSN:1297-9589