Perinatal outcomes in severe preeclamptic women between 24-33(+6) weeks' gestation.
OBJECTIVE
The present study was undertaken to determine perinatal and maternal outcomes in severe preeclamptic women between 24-33-week gestation and compare the outcomes between expectant and aggressive management.


METHODS
A retrospective descriptive study of 99 women with severe preeclampsia between 24-33(+6)-week gestation who delivered at the King Chulalongkorn Memorial Hospital from January 2002 to December 2005 was included. The outcomes were analyzed according to the gestational age at the time of admission (< 28 weeks' and > or = 28 weeks' gestation) according to expectant compared with aggressive management. Statistical analysis was performed by student t-test and chi2-test.


RESULTS
The perinatal morbidity and mortality were significantly high in the gestational age < 28 weeks group. There were 11 perinatal deaths, 8 in those managed at < 28 weeks and 3 in those managed at 28-29 weeks' gestation (p < 0.05). Maternal morbidities were similar among both groups. There was no maternal death.


CONCLUSIONS
Delivery at remote from term, especially < 2-week gestation, increases neonatal morbidity and mortality in severe preeclamptic women. Expectant management should be done in the tertiary care center with close maternal and fetal monitering.
Jantasing
Sujittra
S
Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Tanawattanacharoen
Somchai
S
D000328:Adult; D005260:Female; D005865:Gestational Age; D006305:Health Status Indicators; D006801:Humans; D008429:Maternal Welfare; D011225:Pre-Eclampsia / Q000517:prevention & control*; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D018570:Risk Assessment