title: Neonatal outcomes of late preterm deliveries with pre-eclampsia.
abstract: OBJECTIVE
  The aim of the study was to examine the impact of pre-eclampsia on neonatal outcomes of late preterm deliveries.
  
  
  METHODS
  A retrospective study was conducted, enrolling pregnancies delivered between 34 0/7 and 36 6/7 weeks of gestation during the period 2004-2007 in a large tertiary center. Pregnancies were divided in group 1, including those complicated with pre-eclampsia and group 2, including normotensive cases. Epidemiological characteristics, mode of delivery and complications contributing in late preterm delivery were initially studied. Neonatal morbidity parameters of our interest included mean Apgar score in the 1st and 5th minute, admission to Neonatal Intensive Care Unit (NICU) and need for emergency intubation. Intrauterine growth retardation (IUGR), low birth weight (LBW) and very LBW (VLBW), respiratory distress syndrome (RDS), hypoglycemia, NICU infection, abnormal cerebral ultrasonographic findings and duration of NICU residence were also compared between the two groups.
  
  
  RESULTS
  Out of 363 late preterm pregnancies, 29 (8%) were delivered because of pre-eclampsia. Mean gestational week and birth weight were significantly lower in group 1. The rate of elective caesarean section was also significantly higher in this group. The same observation was made concerning rates of IUGR, LBW and VLBW neonates. Furthermore, incidence of NICU admission and hypoglycemia were significantly higher in the group of infants born by pre-eclamptic mothers. Incidence of RDS and cerebral echo pathology were also higher, but without significant difference when compared to group 2.
  
  
  CONCLUSIONS
  Neonatal adverse outcomes were increased in late preterm infants of pre-eclamptic women in comparison with those of normotensive women.
authors.affiliation: Fourth Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Greece.
authors.forename: S
authors.initials: S
authors.lastname: Masoura
authors.forename: I
authors.initials: I
authors.lastname: Kalogiannidis
authors.forename: C
authors.initials: C
authors.lastname: Margioula-Siarkou
authors.forename: E
authors.initials: E
authors.lastname: Diamanti
authors.forename: M
authors.initials: M
authors.lastname: Papouli
authors.forename: V
authors.initials: V
authors.lastname: Drossou-Agakidou
authors.forename: N
authors.initials: N
authors.lastname: Prapas
authors.forename: T
authors.initials: T
authors.lastname: Agorastos
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D017558:Elective Surgical Procedures / Q000706:statistics & numerical data; D005260:Female; D005317:Fetal Growth Retardation / Q000453:epidemiology; D006115:Greece / Q000453:epidemiology; D006771:Hospitals, Maternity; D006785:Hospitals, University; D006801:Humans; D007003:Hypoglycemia / Q000453:epidemiology; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D011225:Pre-Eclampsia / Q000453:epidemiology*; D011247:Pregnancy; D011256:Pregnancy Outcome; D047928:Premature Birth / Q000453:epidemiology*; D012127:Respiratory Distress Syndrome, Newborn / Q000453:epidemiology; D012189:Retrospective Studies