Mode of delivery in pregnant women with hypertensive disorders and unfavorable cervix following induction of labor with vaginal application of prostaglandin E<sub>2</sub>

Ben-Haroush, Avi; Yogev, Yariv; Glickman, Hagit; Kaplan, Boris; Hod, Moshe; Bar, Jacob

doi:10.1111/j.0001-6349.2005.00681.x

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…Preeclampsia and eclampsia contribute to maternal death for every 3 minutes worldwide (Mammaro et al, 2009;Meshram et al, 2014). Pregnancy induced hypertension (PIH) is one of the most common pregnancy complications (Durst et al, 2016) that calls for consideration to conduct a certain type of delivery (Haroush et al, 2005). Fetal distress caused by preeclampsia and eclampsia requires doctors physicians to perform cesarean section (Alanis et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Type of Delivery and Length of Stay in Hypertension Patients

Syahriana¹,

Mappaware²,

Hasibuan³

et al. 2018

GJHS

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Introduction: The length of stay (LOS) for pregnant mothers with vaginal delivery is different from that of caesarean delivery. Hypertension during pregnancy may be an indication to conduct caesarean delivery that affects length of stay in hospitals. Material and Methods:The total collected samples were 108 pregnant mothers and they were divided into 2 groups, 54 pregnant mothers with normal blood pressure and 54 pregnant mothers with hypertension. Maternal characteristics, routine hematology, blood pressure (BP) status, type of delivery and length of stay were analyzed.Results: Type of delivery, maternal age, height, weight, body mass index (BMI), systolic blood pressure, diastolic blood pressure, length of stay, and routine hematologic profile except leukocytes showed statistically significant correlations with hypertension for the total 108 pregnant mothers. Pregnant mothers with caesarean delivery due to pregnancy induced hypertension (PIH) was threefold than those of normal blood pressure (95% confidence interval, 1.343-6.563). Statistical analyses indicated significant correlations between type of delivery and length of stay for pregnant mothers with hypertension after delivery (p-value = 0.000). Conclusion:On average, pregnant mothers who had hypertension with caesarean delivery spent at least 49-72 hours in the hospital after delivery. Indeed, the Royal College of Obstetricians and Gynecologists recommended that pregnant mothers with vaginal delivery should stay in a hospital for 1 or 2 days and those with caesarean section were suggested to stay 3 or 4 days after delivery. However, some pregnant mothers in this study spent shorter time to stay at the hospital after delivery. Therefore, it is suggested for pregnant mothers to stay at a hospital in a more sufficient period of time after delivery to give an adequate time for physicians to classify, to diagnose, or to treat complications after delivery.

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Section: Introductionmentioning

confidence: 99%

Type of Delivery and Length of Stay in Hypertension Patients

Syahriana¹,

Mappaware²,

Hasibuan³

et al. 2018

GJHS

View full text Add to dashboard Cite

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Effects of Modes and Timings of Delivery on Feto-Maternal Outcomes in Women with Severe Preeclampsia: A Multi-Center Survey in Mainland China

Wu¹,

Zhang²

2021

IJGM

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Background Pregnancy termination is the only effective treatment for preeclampsia. However, there are controversies on the selection of modes of delivery. The objective was to evaluate whether mode of delivery in labor differentially affected the rate of adverse maternal outcomes related to severe preeclampsia. Objective This study aimed to evaluate whether the modes and timings of delivery affects adverse maternal outcomes in pre-eclampsia. Methods Clinical data from 2516 singleton pregnant women with severe preeclampsia were collected in a multicenter, large-sample, cross-sectional study in mainland China. The patients were divided into cesarean-delivery (CD) and vaginal-delivery (VD) categories and then into Group 1 (≤27 + 6 weeks), Group 2 (28–33 + 6 weeks), Group 3 (34–36 + 6 weeks), and Group 4 (≥37 weeks) according to the mode of delivery and gestational weeks. All data were exported into the SPSS software and analyzed by the Student’s t-tests or Mann–Whitney U -tests and the chi-squared test. Results A total of 2516 singleton pregnant women with severe preeclampsia were collected and the overall cesarean section rate was 84.9%. The vaginal delivery rates among the four groups were significantly different with 70%, 19.7%, 6.6%, 15.1% in groups 1, 2, 3, 4, respectively (P<0.05), while perinatal mortality was lower in the CD groups than VD groups (3.3% vs 50.4%, P<0.05). The neonatal asphyxia rate was significantly higher with CD than with VD in Group 2 (36.4% vs 12.9%, P<0.05). The perinatal mortality with CD, 3, and 4 was significantly lower than with VD (10.0% vs 68.5% in Groups 2, 2.3% vs 28.3% in Groups 3, 0.8% vs 5.6% in Groups 4, all P<0.05). Conclusion Most pregnant women with severe preeclampsia opted for a cesarean section in China. The lower perinatal mortality was associated with cesarean section, but the rate of maternal PPH or mortality was not related with the mode of delivery. So cesarean section is the safer delivery mode for the pregnant women complicated with severe preeclampsia.

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Mode of delivery in pregnant women with hypertensive disorders and unfavorable cervix following induction of labor with vaginal application of prostaglandin E₂

Cited by 2 publications

References 16 publications

Type of Delivery and Length of Stay in Hypertension Patients

Type of Delivery and Length of Stay in Hypertension Patients

Effects of Modes and Timings of Delivery on Feto-Maternal Outcomes in Women with Severe Preeclampsia: A Multi-Center Survey in Mainland China

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Mode of delivery in pregnant women with hypertensive disorders and unfavorable cervix following induction of labor with vaginal application of prostaglandin E2

Cited by 2 publications

References 16 publications

Type of Delivery and Length of Stay in Hypertension Patients

Type of Delivery and Length of Stay in Hypertension Patients

Effects of Modes and Timings of Delivery on Feto-Maternal Outcomes in Women with Severe Preeclampsia: A Multi-Center Survey in Mainland China

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Mode of delivery in pregnant women with hypertensive disorders and unfavorable cervix following induction of labor with vaginal application of prostaglandin E₂