A STUDY OF PERINATAL OUTCOME IN EXPECTANT MANAGEMENT OF EARLY ONSET SEVERE PREECLAMPSIA BETWEEN 24 – 34 WEEKS GESTATION

Dr. Vidya; Dr. Jayashree Kanavi; Dr. Kavitha Gonsalves; Dr. Annamma Thomas

Volume : IV, Issue : VII, July - 2015

A STUDY OF PERINATAL OUTCOME IN EXPECTANT MANAGEMENT OF EARLY ONSET SEVERE PREECLAMPSIA BETWEEN 24 – 34 WEEKS GESTATION

Dr. Vidya, Dr. Jayashree Kanavi, Dr. Kavitha Gonsalves, Dr. Annamma Thomas

Abstract :

<p>&nbsp;Objective: To study expectant management of early onset severe preeclampsia between 24 &ndash; 34 weeks of gestation. Methods: It was a prospective observational study. 60 patients with early onset severe preeclampsia between 24 &ndash; 34 weeks of gestation were included. Patients were subjected to expectant management. Frequent clinical and biochemical monitoring of maternal status was done. The maternal outcome was measured by prolongation of gestation and maternal complications. Fetal outcome included still birth, neonatal ICU admissions and neonatal morbidities. Results: Most of them were in the age group of 20 &ndash; 25 years (50%). Mean gestational age at diagnosis was 30 weeks. A mean of 6.2 days were gained by expectant management. 50% women experienced major complications. Prolongation of pregnancy was associated with a reduction in perinatal morbidity and mortality. Chief contributors for perinatal morbidity and mortality were RDS, sepsis, NEC, IVH. Neonatal outcome depends on gestational age at the time of delivery and birth weight. Survival rate of babies was found to be 61.6%. Conclusion: Careful expectant management and timely intervention in a tertiary care centre can diminish and limit the impact of serious maternal and perinatal outcomes</p>