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Are we increasing serious maternal morbidity by postponing termination of pregnancy in severe pre-eclampsia/eclampsia?
J Obstet Gynaecol. 2005 May; 25(4):347-51.JO

Abstract

The objective of this study was to evaluate the impact of admission--delivery interval on maternal morbidity in patients with severe pre-eclampsia/eclampsia. This was a retrospective study, which involved review of case sheets of 188 women (admitted to St John's Medical College Hospital during the year 2000--2001 with the above diagnosis). The incidence of severe pre-eclampsia and eclampsia was 5.18% (188/3,627) with 119 primigravida and 69 multigravida. The incidence of serious maternal complications in the post partum period was 17% (11/68) in the category of women who delivered within 12 hours of admission compared with 40.6% (28/69) in the 12--48-h category and 60.8% (31/51) in the>48-h category. The incidence of serious maternal complications in the subset with HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome was 33.4% (7/21) in the<or=12-h category compared with 90.9% (20/22)in the>12-h. We concluded that termination of pregnancy within 12 hours of admission in severe pre-eclampsia/eclampsia especially in patients with HELLP syndrome helps to prevent avoidable serious maternal morbidity.

Authors+Show Affiliations

Department of Obstetrics and Gynaecology, St. John's Medical College Hospital, Bangalore, Karnataka, India. tonythomas1682011@lycos.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16091314

Citation

Thomas, T, et al. "Are We Increasing Serious Maternal Morbidity By Postponing Termination of Pregnancy in Severe Pre-eclampsia/eclampsia?" Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, vol. 25, no. 4, 2005, pp. 347-51.
Thomas T, Jophy R, Mhaskar A, et al. Are we increasing serious maternal morbidity by postponing termination of pregnancy in severe pre-eclampsia/eclampsia? J Obstet Gynaecol. 2005;25(4):347-51.
Thomas, T., Jophy, R., Mhaskar, A., & Misquith, D. (2005). Are we increasing serious maternal morbidity by postponing termination of pregnancy in severe pre-eclampsia/eclampsia? Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, 25(4), 347-51.
Thomas T, et al. Are We Increasing Serious Maternal Morbidity By Postponing Termination of Pregnancy in Severe Pre-eclampsia/eclampsia. J Obstet Gynaecol. 2005;25(4):347-51. PubMed PMID: 16091314.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Are we increasing serious maternal morbidity by postponing termination of pregnancy in severe pre-eclampsia/eclampsia? AU - Thomas,T, AU - Jophy,R, AU - Mhaskar,A, AU - Misquith,D, PY - 2005/8/11/pubmed PY - 2005/9/16/medline PY - 2005/8/11/entrez SP - 347 EP - 51 JF - Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology JO - J Obstet Gynaecol VL - 25 IS - 4 N2 - The objective of this study was to evaluate the impact of admission--delivery interval on maternal morbidity in patients with severe pre-eclampsia/eclampsia. This was a retrospective study, which involved review of case sheets of 188 women (admitted to St John's Medical College Hospital during the year 2000--2001 with the above diagnosis). The incidence of severe pre-eclampsia and eclampsia was 5.18% (188/3,627) with 119 primigravida and 69 multigravida. The incidence of serious maternal complications in the post partum period was 17% (11/68) in the category of women who delivered within 12 hours of admission compared with 40.6% (28/69) in the 12--48-h category and 60.8% (31/51) in the>48-h category. The incidence of serious maternal complications in the subset with HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome was 33.4% (7/21) in the<or=12-h category compared with 90.9% (20/22)in the>12-h. We concluded that termination of pregnancy within 12 hours of admission in severe pre-eclampsia/eclampsia especially in patients with HELLP syndrome helps to prevent avoidable serious maternal morbidity. SN - 0144-3615 UR - https://www.unboundmedicine.com/medline/citation/16091314/Are_we_increasing_serious_maternal_morbidity_by_postponing_termination_of_pregnancy_in_severe_pre_eclampsia/eclampsia L2 - https://www.tandfonline.com/doi/full/10.1080/01443610500119648 DB - PRIME DP - Unbound Medicine ER -