الفهرس | Only 14 pages are availabe for public view |
Abstract Pre-eclampsia is a pregnancy specific multisystem syndrome that cause a clinical dilemma, as delivery of the fetus and placenta is currently the only definitive treatment. However, the decision for iatrogenic preterm delivery of a baby is never straightforward. In cases of preterm mild pre-eclampsia between 34-37 weeks, the decision of immediate delivery is more suggested. However, it is associated with higher risk on neonates but it is not significant if weighed by the risk of progress to severity. This study aimed to compare initiation of delivery versus expectant management in women with late preterm mild pre-eclampsia between 34 and 37 weeks‘ gestation to determine whether planned delivery reduces maternal adverse outcome without substantial worsening of neonatal outcome. In addition, to assess the benefits and risks of a policy of planned early delivery versus a policy of expectant management in those pregnant women. It was carried out on ( 92) pregnant women with the diagnosis of late preterm mild pre-eclampsia who are defined as pregnant women between 34 and less than 37 weeks of gestation , had a diagnosis of pre-eclampsia or superimposed pre-eclampsia. Who attended to the outpatient or the inpatients wards of the department of Obstetrics and Gynecology, EL Menoufia University Hospital and EL Menshawy General Hospital. During the period from December 2019 to August 2020. They were divided into 46 managed by immediate termination and 46 managed by expectation. Results of the current study revealed that as regard to maternal outcome there is statistically significant different between numbers of cases progress to sever pre-eclampsia in both groups (P=0.020). In addition, as regard neonatal outcome there is no significant difference between two studied groups. |