Publication:

Expectant management of severe preeclampsia in mid-trimester: a hospital based study

Background Objective of current study was to determine the maternal and perinatal outcome of the expectant management of severe preeclampsia between 24 weeks and 34 weeks of gestation.

Methods Data was collected from the 50 case notes of the mothers who had expectant management of severe preeclampsia. The study period was April 2011-March 2013. Total of 27 women in the year 2011-2012 (April-March) and 23 women in the year 2012-2013 (April-March) were included. Maternal condition was carefully monitored with the help of non-invasive monitors. Fetal condition was monitored by ultrasound and colour Doppler. Number of days as pregnancy prolongation and maternal and perinatal morbidities were calculated and analysed.

Results The number of days prolonged has been maximum in gestational age of 28-30 weeks, median being 23.5. There is association between higher maternal DBP and appearance of maternal complications (as DBP increases mother is more at risk).

Conclusions Pregnancies complicated by severe preeclampsia can be managed expectantly in a tertiary care centre of India (low resource country) provided mother and fetus are monitored for their wellbeing.