Fetal and neonatal outcome in patients with severe pre-eclampsia before 34 weeks
The original publication is available at http://www.samj.org.za
Delivery was delayed until 34 weeks in 129 patients with severe pre-eclampsia, unless the maternal or fetal conditions necessitated earlier delivery. No patient developed eclampsia although all sedation was terminated from 24 hours after admission until labour started, unless there was a sudden change in the patient's clinical condition. Of the 14 fetuses that died in utero, only 4 weighed more than 1000 g at delivery. Three of these 4 already died by the time of the mothers' admission. Abruptio placentae was the cause of 36% of intra-uterine deaths. The perinatal mortality rate was 223/1000. Survival rates for liveborn babies was 47%, 78% and 82% for birth weights of 750-999 g, 1000-1249 g and 1250-1499 g respectively. No neonate died when the birth weight was 1500 g or more.
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