Delivery of patients with early onset, severe pre-eclampsia

dc.contributor.authorHall D.R
dc.contributor.authorOdendaal H.J
dc.contributor.authorSteyn D.W
dc.date.accessioned2011-05-15T16:16:42Z
dc.date.available2011-05-15T16:16:42Z
dc.date.issued2001
dc.description.abstractObjectives: To compare the effects of induction/labor to delivery before labor in early onset, severe pre-eclampsia. Methods: Five-year prospective case series. Delivery course and neonatal outcome were examined for 335 women with viable singletons. Results: Induction was successful in 45% of attempts. Women exposed to labor had longer (5.5 days, P<0.0001) admissions to delivery periods and were more often delivered for maternal indications (RR=2.87, 95% CI=1.98-4.16). Their babies were born 1.6 weeks older (P<0.0001) and 352 g heavier (P<0.0001) than those delivered before labor. Babies exposed to labor needed intensive care less often (RR=0.4, 95% CI=0.27-0.58), had lower rates of severe hyaline membrane disease (RR=0.26, 95% CI=0.11-0.59) and sepsis (RR=0.56, 95% CI=0.33-0.93), and were discharged earlier (P<0.0001). Conclusions: Exposure to induction/labor in selected patients is not detrimental to neonatal outcome in early, severe pre-eclampsia. Copyright © 2001 International Federation of Gynecology and Obstetrics. All rights reserved.
dc.description.versionArticle
dc.identifier.citationInternational Journal of Gynecology and Obstetrics
dc.identifier.citation74
dc.identifier.citation2
dc.identifier.issn00207292
dc.identifier.other10.1016/S0020-7292(01)00421-0
dc.identifier.urihttp://hdl.handle.net/10019.1/13900
dc.subjectbetamethasone
dc.subjectdihydralazine
dc.subjectmagnesium sulfate
dc.subjectmethyldopa
dc.subjectnifedipine
dc.subjectoxytocin
dc.subjectprazosin
dc.subjectprostaglandin E2
dc.subjectadolescent
dc.subjectadult
dc.subjectarticle
dc.subjectbirth weight
dc.subjectcesarean section
dc.subjectdelivery
dc.subjectdisease severity
dc.subjectfemale
dc.subjectfetus outcome
dc.subjecthospital discharge
dc.subjecthuman
dc.subjecthyaline membrane disease
dc.subjecthypertension
dc.subjectintensive care
dc.subjectlabor
dc.subjectlabor induction
dc.subjectmajor clinical study
dc.subjectpreeclampsia
dc.subjectpriority journal
dc.subjectsepsis
dc.subjectAdult
dc.subjectDelivery, Obstetric
dc.subjectFemale
dc.subjectHumans
dc.subjectInfant, Newborn
dc.subjectLabor, Induced
dc.subjectPre-Eclampsia
dc.subjectPregnancy
dc.subjectPregnancy Outcome
dc.subjectProspective Studies
dc.subjectTime Factors
dc.titleDelivery of patients with early onset, severe pre-eclampsia
dc.typeArticle
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