title: Maternal and perinatal outcome during expectant management of severe pre-eclampsia between 24 and 34 weeks of gestation.
abstract: OBJECTIVE
  To determine the maternal and perinatal outcome after expectant management of severe pre-eclampsia between 24 and 34 weeks of gestation.
  
  
  METHODS
  The maternal and fetal status was monitored by an intensive, non-invasive method among 94 women with severe pre-eclampsia between 24 and 34 weeks of gestation who were scheduled for expectant management in the OICU at a tertiary care center. Pregnancy prolongation and maternal and perinatal morbidity and mortality were analyzed by the Student 't' test and the Mann-Whitney U test.
  
  
  RESULTS
  The days of pregnancy prolongation and perinatal mortality were significantly higher among those managed at <30 weeks. Increasing gestational age correlated with a reduction of RDS. Maternal morbidities were significantly higher among those managed at <28 weeks. But, there was no maternal mortality.
  
  
  CONCLUSIONS
  Expectant management of severe pre-eclampsia at 30-34 weeks in a tertiary care center of a developing country is associated with good perinatal outcome and risk reduction for the mother.
authors.affiliation: Department of Obstetrics and Gynecology, J.N. Medical College and KLESH and MRC, Belgaum, 590 010 Karnataka India.
authors.forename: M K
authors.initials: MK
authors.lastname: Swamy
authors.forename: Kamal
authors.initials: K
authors.lastname: Patil
authors.forename: Shailaja
authors.initials: S
authors.lastname: Nageshu
keywords: Early severe pre-eclampsia; Expectant management; Maternal morbidity; Perinatal outcome
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