| Are we increasing serious maternal morbidity by postponing termination of pregnancy in severe pre-eclampsia/eclampsia? | |
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MedLine Citation:
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PMID: 16091314 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The objective of this study was to evaluate the impact of admission--delivery interval on maternal morbidity in patients with severe pre-eclampsia/eclampsia. This was a retrospective study, which involved review of case sheets of 188 women (admitted to St John's Medical College Hospital during the year 2000--2001 with the above diagnosis). The incidence of severe pre-eclampsia and eclampsia was 5.18% (188/3,627) with 119 primigravida and 69 multigravida. The incidence of serious maternal complications in the post partum period was 17% (11/68) in the category of women who delivered within 12 hours of admission compared with 40.6% (28/69) in the 12--48-h category and 60.8% (31/51) in the>48-h category. The incidence of serious maternal complications in the subset with HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome was 33.4% (7/21) in the<or=12-h category compared with 90.9% (20/22)in the>12-h. We concluded that termination of pregnancy within 12 hours of admission in severe pre-eclampsia/eclampsia especially in patients with HELLP syndrome helps to prevent avoidable serious maternal morbidity. |
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Authors:
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T Thomas; R Jophy; A Mhaskar; D Misquith |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Volume: 25 ISSN: 0144-3615 ISO Abbreviation: J Obstet Gynaecol Publication Date: 2005 May |
Date Detail:
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Created Date: 2005-08-10 Completed Date: 2005-09-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309140 Medline TA: J Obstet Gynaecol Country: England |
Other Details:
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Languages: eng Pagination: 347-51 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, St. John's Medical College Hospital, Bangalore, Karnataka, India. tonythomas1682011@lycos.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Therapeutic* Adult Eclampsia / complications, epidemiology, therapy* Female HELLP Syndrome / complications, epidemiology, therapy Humans Morbidity Pre-Eclampsia / complications, epidemiology, therapy* Pregnancy Retrospective Studies Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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