Now, but not yet : tension in obstetrics
14 pages in pdf format, including bibliographic references.
Inaugural address delivered on 17 June 2010.
CONCLUSION OF LECTURE: Early-onset severe pre-eclampsia is not uncommon and can be a devastating complication of pregnancy. Under carefully controlled circumstances, however, expectant management is sufficiently safe for the mother and provides important perinatal benefits, with almost half of such cases qualifying for this approach. The recommendations from the Stellenbosch/Tygerberg group have been widely applied. Preventing spontaneous preterm birth and its consequences remains a priority that has been difficult to achieve. There is evidence, however, that women with one or more preterm deliveries and a short cervix may benefit from prophylactic progesterone. Finally, a damaged uterine cervix and/or recurrent mid-trimester losses do not preclude the chance of a successful advanced pregnancy, which can be achieved with the aid of a TAC.