title: Does immediate postpartum curettage of the endometrium accelerate recovery from preeclampsia-eclampsia? A randomized controlled trial.
abstract: OBJECTIVE
  To evaluate the effect of immediate postpartum curettage on rapid resolution of clinical and laboratory indices in pre-eclampsia and eclampsia women.
  
  
  METHODS
  A randomized controlled study, comprised of 420 pre-eclamptic or eclamptic women with singleton pregnancy 24 weeks gestation and more. Patients were divided into two groups: 220 patients underwent immediate postpartum curettage and 200 patients as a control group.
  
  
  RESULTS
  The clinical and laboratory prenatal parameters showed no statistical significant differences between both groups. The follow-up for the postnatal clinical and laboratory data showed significant improvement for the mean arterial blood pressure in the curettage group over 6, 12, and 24 h after delivery and significant improvement in the platelet count as well. The average time required for MAP to reach 105 mmHg or less was significantly shorter (P < 0.05) in the curettage group (40 ± 3.15 h) than the control group (86 ± 5.34 h). Two patients in the curettage group developed convulsions versus 11 patients in the control group within the first 24 h after delivery. No maternal mortalities were reported in both groups.
  
  
  CONCLUSIONS
  Immediate postpartum curettage is a safe and effective procedure and can accelerate recovery from pre-eclampsia or eclampsia.
authors: Department of Obstetrics/Gynecology, Mansoura University Hospitals, Mansoura, Egypt.
authors: A
authors: A
authors: Ragab
authors: H
authors: H
authors: Goda
authors: M
authors: M
authors: Raghib
authors: R
authors: R
authors: Barakat
authors: A
authors: A
authors: El-Samanoudy
authors: A
authors: A
authors: Badawy
mesh_terms: D062186:Arterial Pressure; D003475:Curettage; D004461:Eclampsia / Q000503:physiopathology* / Q000601:surgery*; D004717:Endometrium / Q000601:surgery*; D005260:Female; D006801:Humans; D010976:Platelet Count; D049590:Postpartum Period; D011225:Pre-Eclampsia / Q000503:physiopathology* / Q000601:surgery*; D011247:Pregnancy; D013997:Time Factors