Expectant management in non-severe pre-eclampsia, obstetric and
DOI:
https://doi.org/10.18597/rcog.3075Keywords:
Pregnancy complications, preeclampsia, disease management, perinatal careAbstract
Objective: To determine the incidence of non-severe preeclampsia and identify maternal and perinatal outcomes in patients managed initially just with observation.
Materials and methods: Historical cohort of pregnant women with non-severe preeclampsia seen in a public high-complexity referral institution between June 2015 and May 2016. Convenience sampling was used. Sociodemographic, clinical and paraclinical characteristics were measured as well as maternal and perinatal outcomes; the incidence of non-severe preeclampsia is determined and a descriptive analysis is performed.
Results: The incidence rate ratio of non-severe preeclampsia was 3%. Overall, 86 pregnant women with a mean age of 28 years (SD ± 8.1) were included in the cohort. Mean gestational age at the time of diagnosis was 20 weeks (SD ± 3.1). Of the women with an initial diagnosis of preeclampsia and no severity characteristics, 47.7% converted to severe preeclampsia and 27 neonates had at least one complication, the most frequent being admission to the Neonatal Intensive Care Unit (27.9%).
Conclusion: The major maternal complication in patients with non-severe preeclampsia was transition to severe preeclampsia identified in around half of the patients, and perinatal complications in around one third of the pregnant mothers. Therefore, a strict control of the patients with non-severe preeclampsia and expectant management is required.
Author Biographies
Yuly Natalia Guzmán-Yara
Médica residente de Ginecología y Obstetricia, Universidad
Surcolombiana, Neiva (Colombia). yunagu1223@gmail.com
Edgardo Parra-Amaya
Médico residente de Ginecología y Obstetricia, Universidad
Surcolombiana, Neiva (Colombia). edpaam80@gmail.com
Julian David Javela-Rugeles
Médico investigador en Servicio Social Obligatorio, Universidad
Surcolombiana, Neiva (Colombia). julianjavela@hotmail.com
Juan Camilo Barrios-Torres
Médico investigador en Servicio Social Obligatorio, Universidad
Surcolombiana, Neiva (Colombia). juancabarto@gmail.com
Carlos Montalvo-Arce
Médico epidemiólogo y salubrista, profesor auxiliar, programa de medicina, Universidad Surcolombiana, Neiva (Colombia). carlos.montalvo@usco.edu.co
Hector Leonardo Perdomo-Sandoval
Médico ginecoobstetra, con entrenamiento en medicina crítica y cuidado intensivo. Profesor vinculado al programa de posgrado de Ginecología y Obstetricia, Universidad Surcolombiana, Neiva (Colombia). hlperdomo@hotmail.com
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