Is expectant management of early-onset severe preeclampsia worthwhile in low-resource settings?

Abdel-Hady, El-Said; Fawzy, Muhammad; El-Negeri, Mohamed; Nezar, Mohamed; Ragab, Ahmed; Helal, Ahmed H.

doi:10.1007/s00404-009-1209-7

Cited by 21 publications

(13 citation statements)

References 22 publications

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“…When the onset of pre‐eclampsia occurs at a pre‐viable gestation (ie< 24 weeks of gestation), there is little to be gained from prolonging the pregnancy with serious maternal morbidity rates of 65–71% and high perinatal mortality rates of >80% . The onus remains on the clinician to advise termination of pregnancy, particularly in resource poor settings …”

Section: Management Of Pre‐eclampsia and Gestational Hypertensionmentioning

confidence: 99%

SOMANZ guidelines for the management of hypertensive disorders of pregnancy 2014

Löwe

Bowyer

Lust

et al. 2015

Aust NZ J Obst Gynaeco

295

330

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This guideline is an evidence based, practical clinical approach to the management of Hypertensive Disorders of Pregnancy. Since the previous SOMANZ guideline published in 2008, there has been significant international progress towards harmonisation of definitions in relation to both the diagnosis and management of preeclampsia and gestational hypertension. This reflects increasing knowledge of the pathophysiology of these conditions, as well as their clinical manifestations. In addition, the guideline includes the management of chronic hypertension in pregnancy, an approach to screening, advice regarding prevention of hypertensive disorders of pregnancy, and discussion of recurrence risks and long term risk to maternal health. The literature reviewed included the previous SOMANZ Hypertensive Disorders of Pregnancy guideline from 2008 and its reference list, plus all other published National and International Guidelines on this subject. Medline, Cochrane Database of Systematic Reviews (CDSR), Cochrane Central Registry of Controlled Trials (CCRCT), National Institute for Health and Care Excellence (NICE) Evidence Search, and Database of Abstracts and Reviews of Effects (DARE) were searched for literature published between January 2007 and March, 2014.

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Section: Management Of Pre‐eclampsia and Gestational Hypertensionmentioning

confidence: 99%

SOMANZ guidelines for the management of hypertensive disorders of pregnancy 2014

Löwe

Bowyer

Lust

et al. 2015

Aust NZ J Obst Gynaeco

295

330

View full text Add to dashboard Cite

show abstract

“…La preeclampsia ocurre en 2 a 12% de los embarazos, 25% de ellos con elementos de severidad (2,3) . En el mundo, la preeclampsia es la causa directa de aproximadamente 15% de las muertes maternas (4) .…”

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Manejo de la preeclampsia con elementos de severidad antes de las 34 semanas de gestación: nuevos conceptos

Rosa

Ludmir

2015

Rev peru ginecol obstet.

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La preeclampsia es una de las principales causas de mortalidad materna en el Perú y enel mundo. El manejo de la preeclampsia con elementos de severidad en pacientes conmenos de 34 semanas de gestación es un tema polémico. En este artículo presentamosuna revisión de la literatura y la evidencia y últimas recomendaciones para el manejo depreeclampsia con elementos de severidad en países de América Latina.Palabras clave: Preeclampsia, pretérmino, manejo expectante.

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“…It is one of the important causes of perinatal death. Reportedly, the survival rate of babies born around 24–28 weeks of pregnancy is only 19.7%, while the survival rate of babies born around 32–34 weeks of pregnancy generally rises to 79.8% 22 . This study shows that the overall perinatal mortality in China was 3.59% (of which stillbirth accounted for 81.09% and neonatal death accounted for 18.91%).…”

Section: Discussionmentioning

confidence: 65%

Morbidity and maternal and infant outcomes of hypertensive disorder in pregnancy in China in 2018

Lyu

Zhang

et al. 2021

J of Clinical Hypertension

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Is expectant management of early-onset severe preeclampsia worthwhile in low-resource settings?

Abstract: In low-resource settings, expectant management of early-onset severe PE is associated with relatively higher rates of perinatal mortality and maternal morbidity and should be limited to gestational ages between 28 and 34 weeks of gestation.

Cited by 21 publications

References 22 publications

SOMANZ guidelines for the management of hypertensive disorders of pregnancy 2014

SOMANZ guidelines for the management of hypertensive disorders of pregnancy 2014

Manejo de la preeclampsia con elementos de severidad antes de las 34 semanas de gestación: nuevos conceptos

Morbidity and maternal and infant outcomes of hypertensive disorder in pregnancy in China in 2018

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