Severe Preeclampsia and Delivery Outcomes: is Immediate Cesarean Delivery Beneficial?

Overview

Journal Am J Obstet Gynecol

Publisher Elsevier

Specialty Gynecology & Obstetrics

Date 2002 May 17

PMID 12015514

Citations 14

Authors

Kristin H Coppage

William J Polzin

Affiliations

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Abstract

Objective: This study was designed to determine whether immediate cesarean delivery for patients with severe preeclampsia confers any benefit to the mother or neonate.

Study Design: This retrospective chart review included all deliveries complicated by severe preeclampsia between July 1, 1999, and June 30, 2000. Cesarean deliveries performed for malpresentation, previous classic incision, multiple gestation, placenta previa, and herpetic outbreak were not included. Demographic variables, maternal outcomes, and neonatal outcomes were collected.

Results: Of 114 patients, 93 had an option regarding route of delivery. Thirty-four had an immediate cesarean section and 59 had induction of labor. Thirty-seven of 59 were delivered vaginally and 22 of 59 underwent cesarean delivery. Pulmonary complications in the mother and neonate were more common in cesarean delivery (P <.05). No morbidity was decreased by cesarean delivery. Bishop score and gestational age did not affect the labor induction success rate.

Conclusion: Immediate cesarean delivery confers no benefit to patients with severe preeclampsia.

Citing Articles

Expression of IMP3 and LIN28A RNA-Binding Proteins in Placentas of Patients with Pre-Eclampsia with and without Severe Features.

Barbaric M, Vukojevic K, Kolobaric A, Orlovic Vlaho M, Kresic T, Soljic V Biomedicines. 2024; 12(4).

PMID: 38672233 PMC: 11048248. DOI: 10.3390/biomedicines12040879.

Outcomes of induction vs prelabor cesarean delivery at <33 weeks for hypertensive disorders of pregnancy.

Bushman E, Grobman W, Bailit J, Reddy U, Wapner R, Varner M Am J Obstet Gynecol MFM. 2023; 5(8):101032.

PMID: 37244639 PMC: 10521213. DOI: 10.1016/j.ajogmf.2023.101032.

Prospecting of exosomal-miRNA signatures as prognostic marker for gestational diabetes mellitus and other adverse pregnancy outcomes.

Mitra T, Gulati R, Uppal A, Kumari S, Tripathy S, Ranjan P Front Endocrinol (Lausanne). 2023; 14:1097337.

PMID: 36843574 PMC: 9946972. DOI: 10.3389/fendo.2023.1097337.

Effect of Lipid-Based Multiple Micronutrients Supplementation in Underweight Primigravida Pre-Eclamptic Women on Maternal and Pregnancy Outcomes: Randomized Clinical Trial.

Sher N, Mubaraki M, Zafar H, Nazli R, Zafar M, Fatima S Medicina (Kaunas). 2022; 58(12).

PMID: 36556974 PMC: 9783323. DOI: 10.3390/medicina58121772.

Perinatal Outcome and Its Association with Blood Pressure Levels in Women with Preeclampsia.

Willy D, Schmitz R, Klockenbusch W, Koster H, Willy K, Braun J J Clin Med. 2022; 11(21).

PMID: 36362562 PMC: 9654839. DOI: 10.3390/jcm11216334.